Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.17 / $3,803.00 / $12,600.00	Facility		$636.17	$3,803.00	$12,600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,977.36 / $6,203.47 / $9,729.79	Facility		$3,977.36	$6,203.47	$9,729.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.55 / $693.19 / $5,543.93	Facility		$454.55	$693.19	$5,543.93
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,875.93 / $5,543.93	Facility		$884.00	$2,875.93	$5,543.93