Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,540.00 / $12,152.00	Facility		$1,760.00	$4,540.00	$12,152.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $4,319.00 / $10,043.00	Facility		$2,234.00	$4,319.00	$10,043.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,530.00 / $2,530.00 / $2,530.00	Facility		$2,530.00	$2,530.00	$2,530.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,003.86 / $1,451.84 / $3,338.24	Facility		$1,003.86	$1,451.84	$3,338.24
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $269.12 / $497.90 / $497.90	Facility	AS	$269.12	$497.90	$497.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,189.00 / $3,300.00 / $11,186.00	Facility		$1,189.00	$3,300.00	$11,186.00