Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.17 / $3,255.00 / $12,174.00	Facility		$853.17	$3,255.00	$12,174.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,386.42 / $5,208.00 / $13,167.00	Facility		$1,386.42	$5,208.00	$13,167.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $725.46 / $1,227.22 / $9,475.00	Facility		$725.46	$1,227.22	$9,475.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,219.83 / $1,219.83 / $2,323.71	Facility	62	$1,219.83	$1,219.83	$2,323.71
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $195.17 / $195.17 / $371.79	Facility	AS	$195.17	$195.17	$371.79
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $3,233.00 / $23,526.00	Facility		$245.00	$3,233.00	$23,526.00