Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $3,351.00 / $8,000.00	Facility		$1,110.00	$3,351.00	$8,000.00
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 $785.08 / $1,577.54 / $16,394.00	Facility		$785.08	$1,577.54	$16,394.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,279.17 / $10,381.59 / $10,381.59	Facility	62	$1,279.17	$10,381.59	$10,381.59
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $204.67 / $1,661.06 / $1,661.06	Facility	AS	$204.67	$1,661.06	$1,661.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,156.00 / $4,000.00 / $10,781.00	Facility		$2,156.00	$4,000.00	$10,781.00