Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.19 / $5,691.00 / $12,154.00	Facility		$1,777.19	$5,691.00	$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 $1,597.37 / $2,588.88 / $9,858.00	Facility		$1,597.37	$2,588.88	$9,858.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $415.18 / $415.18 / $794.30	Facility	AS	$415.18	$415.18	$794.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,209.00 / $6,362.00 / $12,989.00	Facility		$2,209.00	$6,362.00	$12,989.00