Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $5,431.00 / $16,217.00	Facility		$1,965.00	$5,431.00	$16,217.00
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 $1,620.37 / $2,222.60 / $9,437.00	Facility		$1,620.37	$2,222.60	$9,437.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,506.64 / $3,506.64 / $6,354.39	Facility	52	$3,506.64	$3,506.64	$6,354.39
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $438.33 / $438.33 / $794.30	Facility	AS	$438.33	$438.33	$794.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,255.00 / $7,205.00 / $11,396.00	Facility		$5,255.00	$7,205.00	$11,396.00