Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $4,024.00 / $13,200.00	Facility		$1,300.00	$4,024.00	$13,200.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,953.50 / $6,453.00 / $25,428.99	Facility	50	$4,953.50	$6,453.00	$25,428.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,035.07 / $18,985.46 / $30,208.54	Facility		$12,035.07	$18,985.46	$30,208.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,093.52 / $1,738.72 / $10,198.00	Facility		$1,093.52	$1,738.72	$10,198.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,722.72 / $3,722.72 / $3,722.72	Facility	50	$3,722.72	$3,722.72	$3,722.72
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,442.13 / $1,442.13 / $1,442.13	Facility	AS	$1,442.13	$1,442.13	$1,442.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,280.00 / $5,524.00 / $9,232.95	Facility		$1,280.00	$5,524.00	$9,232.95