Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,684.00 / $12,600.00	Facility		$1,048.00	$3,684.00	$12,600.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,386.18 / $5,863.50 / $6,750.00	Facility	50	$3,386.18	$5,863.50	$6,750.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,109.85 / $11,215.87 / $17,846.03	Facility		$7,109.85	$11,215.87	$17,846.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $766.49 / $1,561.04 / $14,587.03	Facility		$766.49	$1,561.04	$14,587.03
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,846.50 / $7,846.50 / $7,846.50	Facility	50	$7,846.50	$7,846.50	$7,846.50
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,706.64 / $1,706.64 / $1,706.64	Facility	AS	$1,706.64	$1,706.64	$1,706.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,570.00 / $6,980.00 / $13,541.98	Facility		$1,570.00	$6,980.00	$13,541.98