Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $4,869.00 / $18,600.00	Facility		$1,346.00	$4,869.00	$18,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $484.90 / $484.90 / $484.90	Facility	52	$484.90	$484.90	$484.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $193.96 / $193.96 / $193.96	Facility	53	$193.96	$193.96	$193.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,405.80 / $21,144.87 / $33,649.15	Facility		$13,405.80	$21,144.87	$33,649.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.38 / $4,000.00 / $9,412.67	Facility		$892.38	$4,000.00	$9,412.67
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
United Facility/Professional Facility Modifier Low / Median / High Price $1,280.00 / $5,524.00 / $9,232.95	Facility		$1,280.00	$5,524.00	$9,232.95