Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,576.00 / $8,400.00	Facility		$838.00	$3,576.00	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $82.78 / $82.78 / $152.69	Facility	52	$82.78	$82.78	$152.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,659.22 / $4,194.93 / $6,674.72	Facility		$2,659.22	$4,194.93	$6,674.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.86 / $357.21 / $3,436.14	Facility		$170.86	$357.21	$3,436.14
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $524.38 / $524.38 / $524.38	Facility	52	$524.38	$524.38	$524.38
United Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $1,760.00 / $3,790.62	Facility		$498.00	$1,760.00	$3,790.62