Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,904.89 / $6,159.14 / $9,801.42	Facility		$3,904.89	$6,159.14	$9,801.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $132.32 / $1,676.40	Facility		$92.40	$132.32	$1,676.40
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $40.57 / $40.57 / $40.57	Facility	AS	$40.57	$40.57	$40.57
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00