Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $2,782.00 / $7,365.00	Facility		$818.00	$2,782.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.52 / $314.52 / $445.86	Facility	54	$314.52	$314.52	$445.86
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 $457.29 / $751.82 / $4,754.80	Facility		$457.29	$751.82	$4,754.80
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $898.43 / $898.43 / $3,154.80	Facility	54	$898.43	$898.43	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $2,306.00 / $3,071.00	Facility		$1,185.00	$2,306.00	$3,071.00