Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,507.00 / $5,389.00 / $12,154.00	Facility		$2,507.00	$5,389.00	$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 $55.00 / $5,789.81 / $13,733.24	Facility		$55.00	$5,789.81	$13,733.24
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $7,273.03 / $13,549.59 / $13,549.59	Facility	62	$7,273.03	$13,549.59	$13,549.59
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,163.68 / $2,167.94 / $2,167.94	Facility	AS	$1,163.68	$2,167.94	$2,167.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $3,233.00 / $11,343.00	Facility		$1,185.00	$3,233.00	$11,343.00