Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,677.35 / $8,317.64	Facility		$2,089.30	$4,677.35	$8,317.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,370.32 / $7,943.28	Facility		$1,659.59	$5,370.32	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $7,943.28	Facility		$1,174.90	$1,698.24	$7,943.28
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,187.76 / $2,187.76 / $3,981.07	Facility	54	$2,187.76	$2,187.76	$3,981.07
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $562.34	Facility	AS	$309.03	$309.03	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $6,025.60 / $8,709.64	Facility		$707.95	$6,025.60	$8,709.64