Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.17 / $3,006.97 / $7,365.00	Facility		$738.17	$3,006.97	$7,365.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $248.85 / $248.85 / $349.60	Facility	52	$248.85	$248.85	$349.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.27 / $373.27 / $524.40	Facility	54	$373.27	$373.27	$524.40
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 $537.85 / $892.40 / $4,754.80	Facility		$537.85	$892.40	$4,754.80
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,200.66 / $1,200.66 / $3,605.48	Facility	52	$1,200.66	$1,200.66	$3,605.48
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,050.58 / $1,050.58 / $3,154.80	Facility	54	$1,050.58	$1,050.58	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,103.74 / $2,261.00 / $3,071.00	Facility		$1,103.74	$2,261.00	$3,071.00