Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $5,590.00 / $17,729.00	Facility		$2,114.00	$5,590.00	$17,729.00
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 $1,452.58 / $1,947.70 / $15,591.18	Facility		$1,452.58	$1,947.70	$15,591.18
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,069.67 / $3,069.67 / $5,576.91	Facility	52	$3,069.67	$3,069.67	$5,576.91
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $383.71 / $383.71 / $697.11	Facility	AS	$383.71	$383.71	$697.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,560.00 / $10,420.00 / $18,626.00	Facility		$3,560.00	$10,420.00	$18,626.00