Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $6,038.00 / $16,913.00	Facility		$2,304.00	$6,038.00	$16,913.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $3,063.00 / $3,063.00 / $4,375.00	Facility	52	$3,063.00	$3,063.00	$4,375.00
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 $1,343.76 / $1,779.51 / $13,576.00	Facility		$1,343.76	$1,779.51	$13,576.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,844.84 / $2,844.84 / $5,159.08	Facility	52	$2,844.84	$2,844.84	$5,159.08
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $355.61 / $355.61 / $644.89	Facility	AS	$355.61	$355.61	$644.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,560.00 / $10,420.00 / $18,296.00	Facility		$3,560.00	$10,420.00	$18,296.00