Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $4,931.00 / $12,154.00	Facility		$1,547.00	$4,931.00	$12,154.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,279.00 / $10,043.00	Facility		$2,088.00	$4,279.00	$10,043.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $833.10 / $1,362.18 / $26,542.00	Facility		$833.10	$1,362.18	$26,542.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $229.60 / $229.60 / $4,785.27	Facility	AS	$229.60	$229.60	$4,785.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $4,432.00 / $12,989.00	Facility		$2,426.00	$4,432.00	$12,989.00