Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,463.36 / $10,719.00 / $20,928.72	Facility		$5,463.36	$10,719.00	$20,928.72
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.88 / $341.88 / $341.88	Facility	52	$341.88	$341.88	$341.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $136.75 / $136.75 / $136.75	Facility	53	$136.75	$136.75	$136.75
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $5,470.00 / $5,470.00 / $5,470.00	Facility	62	$5,470.00	$5,470.00	$5,470.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,731.81 / $33,844.37 / $65,465.93	Facility		$25,731.81	$33,844.37	$65,465.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.76 / $1,196.58 / $8,816.00	Facility		$683.76	$1,196.58	$8,816.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,769.66 / $2,769.66 / $2,769.66	Facility	52	$2,769.66	$2,769.66	$2,769.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $692.42 / $692.42 / $692.42	Facility	53	$692.42	$692.42	$692.42
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,163.80 / $2,163.80 / $2,163.80	Facility	62	$2,163.80	$2,163.80	$2,163.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,359.23 / $1,664.46 / $2,304.12	Facility		$1,359.23	$1,664.46	$2,304.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,178.00 / $7,441.00 / $8,816.00	Facility		$6,178.00	$7,441.00	$8,816.00