Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,005.00 / $10,975.77 / $24,068.03	Facility		$5,005.00	$10,975.77	$24,068.03
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $203.30 / $203.30 / $203.30	Facility	52	$203.30	$203.30	$203.30
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $81.31 / $81.31 / $81.31	Facility	53	$81.31	$81.31	$81.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,828.69 / $16,873.23 / $32,638.27	Facility		$12,828.69	$16,873.23	$32,638.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.40 / $764.28 / $26,782.00	Facility		$518.40	$764.28	$26,782.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $41,267.12 / $41,267.12 / $41,267.12	Facility	52	$41,267.12	$41,267.12	$41,267.12
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $10,316.78 / $10,316.78 / $10,316.78	Facility	53	$10,316.78	$10,316.78	$10,316.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $786.00 / $999.32 / $1,371.39	Facility		$786.00	$999.32	$1,371.39
United Facility/Professional Facility Modifier Low / Median / High Price $9,617.00 / $11,459.00 / $26,782.00	Facility		$9,617.00	$11,459.00	$26,782.00