Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,801.89 / $7,762.47	Facility		$1,148.15	$3,801.89	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $13,489.63 / $21,877.62	Facility		$8,709.64	$13,489.63	$21,877.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $14,125.38	Facility		$1,071.52	$2,187.76	$14,125.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $5,128.61 / $5,128.61	Facility	AS	$257.04	$5,128.61	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $15,135.61	Facility		$1,949.84	$7,943.28	$15,135.61