Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,510.89 / $5,590.00 / $9,228.37	Facility		$2,510.89	$5,590.00	$9,228.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $7,403.60 / $11,806.75	Facility		$1,763.75	$7,403.60	$11,806.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,585.10 / $2,265.48 / $9,978.00	Facility		$1,585.10	$2,265.48	$9,978.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,591.90 / $2,591.90 / $30,473.31	Facility	62	$2,591.90	$2,591.90	$30,473.31
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $414.70 / $414.70 / $4,875.72	Facility	AS	$414.70	$414.70	$4,875.72
United Facility/Professional Facility Modifier Low / Median / High Price $5,255.00 / $7,341.00 / $13,500.00	Facility		$5,255.00	$7,341.00	$13,500.00