Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.00 / $4,728.00 / $14,100.00	Facility		$1,456.00	$4,728.00	$14,100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,003.53 / $18,972.31 / $30,208.54	Facility		$12,003.53	$18,972.31	$30,208.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,438.17 / $3,948.00 / $8,986.49	Facility		$2,438.17	$3,948.00	$8,986.49
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $7,746.01 / $7,746.01 / $7,746.01	Facility	62	$7,746.01	$7,746.01	$7,746.01
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,239.35 / $1,239.35 / $1,239.35	Facility	AS	$1,239.35	$1,239.35	$1,239.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $4,626.00 / $9,232.95	Facility		$1,481.00	$4,626.00	$9,232.95