Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,507.00 / $4,470.00 / $12,174.00	Facility		$2,507.00	$4,470.00	$12,174.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,233.00 / $11,043.00	Facility		$55.00	$3,233.00	$11,043.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,664.22 / $6,801.77 / $6,801.77	Facility	62	$3,664.22	$6,801.77	$6,801.77
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $586.28 / $1,088.28 / $1,088.28	Facility	AS	$586.28	$1,088.28	$1,088.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $3,233.00 / $11,489.00	Facility		$1,185.00	$3,233.00	$11,489.00