Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.04 / $2,330.00 / $7,365.00	Facility		$426.04	$2,330.00	$7,365.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $178.27 / $178.27 / $253.16	Facility	52	$178.27	$178.27	$253.16
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $267.41 / $267.41 / $379.74	Facility	54	$267.41	$267.41	$379.74
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 $374.37 / $596.46 / $1,546.88	Facility		$374.37	$596.46	$1,546.88
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $874.77 / $874.77 / $1,575.58	Facility	52	$874.77	$874.77	$1,575.58
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $765.42 / $765.42 / $1,378.64	Facility	54	$765.42	$765.42	$1,378.64
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00