Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $3,158.00 / $8,000.00	Facility		$1,110.00	$3,158.00	$8,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $4,286.00 / $10,043.00	Facility		$2,114.00	$4,286.00	$10,043.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $229.76 / $1,218.00	Facility		$55.00	$229.76	$1,218.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $181.13 / $340.62 / $340.62	Facility	62	$181.13	$340.62	$340.62
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $28.98 / $54.50 / $54.50	Facility	AS	$28.98	$54.50	$54.50
United Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $760.00 / $6,150.00	Facility		$247.00	$760.00	$6,150.00