Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,507.00 / $4,261.00 / $12,154.00	Facility		$2,507.00	$4,261.00	$12,154.00
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 $2,475.67 / $3,833.30 / $7,689.83	Facility		$2,475.67	$3,833.30	$7,689.83
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $4,768.55 / $8,852.98 / $8,852.98	Facility	62	$4,768.55	$8,852.98	$8,852.98
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $762.97 / $1,416.48 / $1,416.48	Facility	AS	$762.97	$1,416.48	$1,416.48
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