Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $3,819.00 / $7,467.00	Facility		$1,965.00	$3,819.00	$7,467.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $6,855.80 / $10,860.55	Facility		$1,763.75	$6,855.80	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,095.69 / $2,582.77 / $4,405.55	Facility		$2,095.69	$2,582.77	$4,405.55
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,595.36 / $3,595.36 / $6,434.68	Facility	62	$3,595.36	$3,595.36	$6,434.68
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $575.26 / $575.26 / $1,029.55	Facility	AS	$575.26	$575.26	$1,029.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,343.00 / $3,339.00 / $5,838.00	Facility		$2,343.00	$3,339.00	$5,838.00