Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,507.00 / $5,389.00 / $12,154.00	Facility		$2,507.00	$5,389.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.00 / $2,507.00 / $5,560.00	Professional		$637.00	$2,507.00	$5,560.00
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 Low / Median / High Price $368.90 / $434.00 / $545.26	Professional		$368.90	$434.00	$545.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,291.00 / $2,664.00	Facility		$55.00	$1,291.00	$2,664.00
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,398.00 / $2,248.00	Facility		$842.00	$1,398.00	$2,248.00