Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.30 / $2,507.00 / $7,365.00	Facility		$491.30	$2,507.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $262.10 / $262.10 / $368.47	Facility	54	$262.10	$262.10	$368.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.06 / $622.69 / $4,754.80	Facility		$380.06	$622.69	$4,754.80
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $749.74 / $749.74 / $3,154.80	Facility	54	$749.74	$749.74	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $2,363.00 / $5,348.53	Facility		$1,380.00	$2,363.00	$5,348.53