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
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $6,640.00 / $10,860.55	Facility		$1,763.75	$6,640.00	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $1,902.53 / $9,437.00	Facility		$1,424.00	$1,902.53	$9,437.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,355.23 / $2,355.23 / $4,376.83	Facility	62	$2,355.23	$2,355.23	$4,376.83
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $376.84 / $376.84 / $700.29	Facility	AS	$376.84	$376.84	$700.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,255.00 / $7,205.00 / $11,396.00	Facility		$5,255.00	$7,205.00	$11,396.00