Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.05 / $4,470.00 / $12,154.00	Facility		$1,465.05	$4,470.00	$12,154.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,517.00 / $11,744.28	Facility		$2,224.00	$4,517.00	$11,744.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $958.00 / $2,167.03 / $7,903.00	Facility		$958.00	$2,167.03	$7,903.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,031.93 / $3,618.02 / $3,618.02	Facility	62	$2,031.93	$3,618.02	$3,618.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $325.11 / $578.88 / $578.88	Facility	AS	$325.11	$578.88	$578.88
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