Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.60 / $1,768.00 / $6,284.00	Facility		$326.60	$1,768.00	$6,284.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.83 / $244.95 / $314.70	Facility	54	$221.83	$244.95	$314.70
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 $322.77 / $508.32 / $1,063.98	Facility		$322.77	$508.32	$1,063.98
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,142.33 / $1,142.33 / $1,142.33	Facility	54	$1,142.33	$1,142.33	$1,142.33
United Facility/Professional Facility Modifier Low / Median / High Price $205.10 / $760.00 / $1,300.00	Facility		$205.10	$760.00	$1,300.00