Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $4,498.00 / $12,154.00	Facility		$1,547.00	$4,498.00	$12,154.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,636.50 / $1,636.50 / $1,636.50	Facility	50	$1,636.50	$1,636.50	$1,636.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $493.23 / $915.99 / $10,868.80	Facility		$493.23	$915.99	$10,868.80
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $115.63 / $889.94 / $889.94	Facility	AS	$115.63	$889.94	$889.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,742.00 / $2,849.00 / $5,200.00	Facility		$1,742.00	$2,849.00	$5,200.00