Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $3,232.00 / $12,154.00	Facility		$1,110.00	$3,232.00	$12,154.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $5,617.00 / $12,691.00	Facility		$2,114.00	$5,617.00	$12,691.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.15 / $339.66 / $5,000.00	Facility		$199.15	$339.66	$5,000.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $342.53 / $342.53 / $650.92	Facility	62	$342.53	$342.53	$650.92
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $54.80 / $54.80 / $104.15	Facility	AS	$54.80	$54.80	$104.15
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $1,218.00 / $9,475.00	Facility		$245.00	$1,218.00	$9,475.00