Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $4,261.00 / $12,154.00	Facility		$1,110.00	$4,261.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $481.48 / $481.48 / $682.87	Facility	54	$481.48	$481.48	$682.87
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 $701.22 / $1,173.48 / $4,754.80	Facility		$701.22	$1,173.48	$4,754.80
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,345.34 / $1,345.34 / $3,154.80	Facility	54	$1,345.34	$1,345.34	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,363.00 / $8,471.50	Facility		$1,216.00	$2,363.00	$8,471.50