Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $5,055.00 / $10,150.00	Facility		$2,114.00	$5,055.00	$10,150.00
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 $1,250.96 / $1,630.37 / $15,169.00	Facility		$1,250.96	$1,630.37	$15,169.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,007.47 / $2,007.47 / $3,781.71	Facility	62	$2,007.47	$2,007.47	$3,781.71
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $321.20 / $321.20 / $605.07	Facility	AS	$321.20	$321.20	$605.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,560.00 / $10,420.00 / $16,841.00	Facility		$3,560.00	$10,420.00	$16,841.00