Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,623.41 / $13,182.57	Facility		$2,238.72	$5,623.41	$13,182.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,495.41 / $8,128.31	Facility		$1,659.59	$5,495.41	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $15,848.93	Facility		$1,445.44	$2,089.30	$15,848.93
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,344.23 / $2,344.23 / $4,365.16	Facility	62	$2,344.23	$2,344.23	$4,365.16
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $380.19 / $380.19 / $707.95	Facility	AS	$380.19	$380.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,232.93 / $20,417.38	Facility		$4,570.88	$10,232.93	$20,417.38