Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $1,376.50 / $5,431.00	Facility		$541.00	$1,376.50	$5,431.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.40 / $3,300.84 / $5,432.89	Facility		$830.40	$3,300.84	$5,432.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.65 / $929.48 / $2,022.00	Facility		$707.65	$929.48	$2,022.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,131.72 / $1,131.72 / $2,142.04	Facility	62	$1,131.72	$1,131.72	$2,142.04
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $181.08 / $181.08 / $342.73	Facility	AS	$181.08	$181.08	$342.73
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,537.00 / $2,428.00	Facility		$716.00	$1,537.00	$2,428.00