Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $5,389.00 / $12,154.00	Facility		$1,547.00	$5,389.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $532.41 / $532.41 / $619.75	Facility	54	$532.41	$532.41	$619.75
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $730.00 / $1,344.16	Facility		$730.00	$730.00	$1,344.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $765.87 / $2,160.00 / $26,542.00	Facility		$765.87	$2,160.00	$26,542.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,251.95 / $4,569.92 / $4,569.92	Facility	54	$1,251.95	$4,569.92	$4,569.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,829.00	Facility		$1,644.00	$2,874.00	$5,829.00