Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $5,125.00 / $9,555.54	Facility		$1,671.00	$5,125.00	$9,555.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.70 / $5,434.01 / $8,773.98	Facility		$1,310.70	$5,434.01	$8,773.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,507.80 / $2,042.41 / $9,978.00	Facility		$1,507.80	$2,042.41	$9,978.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,441.19 / $2,441.19 / $47,165.25	Facility	62	$2,441.19	$2,441.19	$47,165.25
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $390.59 / $390.59 / $7,546.44	Facility	AS	$390.59	$390.59	$7,546.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,279.00 / $7,899.00 / $13,500.00	Facility		$5,279.00	$7,899.00	$13,500.00