Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.05 / $4,470.00 / $12,154.00	Facility		$1,355.05	$4,470.00	$12,154.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,490.00 / $12,235.48	Facility		$2,224.00	$4,490.00	$12,235.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,055.96 / $7,903.00	Facility		$1,120.00	$2,055.96	$7,903.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,107.56 / $3,920.79 / $3,920.79	Facility	62	$2,107.56	$3,920.79	$3,920.79
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $337.21 / $627.33 / $627.33	Facility	AS	$337.21	$627.33	$627.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,367.00 / $2,693.00 / $10,500.00	Facility		$1,367.00	$2,693.00	$10,500.00