Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $5,431.00 / $9,268.50	Facility		$2,114.00	$5,431.00	$9,268.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $7,403.60 / $12,929.33	Facility		$1,763.75	$7,403.60	$12,929.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,688.25 / $2,415.48 / $20,171.00	Facility		$1,688.25	$2,415.48	$20,171.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,770.67 / $2,770.67 / $5,209.43	Facility	62	$2,770.67	$2,770.67	$5,209.43
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $443.31 / $443.31 / $833.51	Facility	AS	$443.31	$443.31	$833.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,541.00 / $13,962.00 / $26,855.00	Facility		$3,541.00	$13,962.00	$26,855.00