Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.85 / $4,261.00 / $8,000.00	Facility		$407.85	$4,261.00	$8,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,722.50 / $2,722.50 / $2,722.50	Professional	50	$2,722.50	$2,722.50	$2,722.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,958.00	Facility		$821.00	$1,963.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $520.71 / $678.09 / $1,025.94	Professional	50	$520.71	$678.09	$1,025.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $340.09 / $602.99 / $5,764.50	Facility		$340.09	$602.99	$5,764.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,261.00 / $3,071.00	Facility		$1,216.00	$2,261.00	$3,071.00