Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.57 / $2,598.00 / $7,365.00	Facility		$377.57	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $114.41 / $114.41 / $165.91	Facility	54	$114.41	$114.41	$165.91
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 $178.98 / $324.14 / $1,546.88	Facility		$178.98	$324.14	$1,546.88
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $445.65 / $445.65 / $651.70	Facility	54	$445.65	$445.65	$651.70
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00