Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,720.00 / $6,329.00 / $16,913.00	Facility		$2,720.00	$6,329.00	$16,913.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4,375.00 / $4,375.00 / $4,375.00	Facility	52	$4,375.00	$4,375.00	$4,375.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $6,855.80 / $10,860.55	Facility		$1,763.75	$6,855.80	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,671.82 / $2,213.31 / $15,169.00	Facility		$1,671.82	$2,213.31	$15,169.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,534.21 / $3,534.21 / $6,418.56	Facility	52	$3,534.21	$3,534.21	$6,418.56
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $441.78 / $441.78 / $802.32	Facility	AS	$441.78	$441.78	$802.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,510.00 / $10,575.00 / $18,626.00	Facility		$4,510.00	$10,575.00	$18,626.00