Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $4,521.00 / $9,429.00	Facility		$1,965.00	$4,521.00	$9,429.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,035.50 / $11,035.50 / $14,143.50	Facility	50	$11,035.50	$11,035.50	$14,143.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.70 / $4,903.56 / $8,070.83	Facility		$1,310.70	$4,903.56	$8,070.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,585.19 / $3,366.76 / $7,168.00	Facility		$2,585.19	$3,366.76	$7,168.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $4,286.35 / $7,746.01 / $7,746.01	Facility	62	$4,286.35	$7,746.01	$7,746.01
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $685.82 / $1,239.35 / $1,239.35	Facility	AS	$685.82	$1,239.35	$1,239.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,613.00 / $6,477.00 / $9,010.00	Facility		$4,613.00	$6,477.00	$9,010.00