Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,981.07 / $9,120.11	Facility		$1,000.00	$3,981.07	$9,120.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $19,498.45 / $32,359.37	Facility		$12,589.25	$19,498.45	$32,359.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,365.16 / $9,332.54	Facility		$891.25	$4,365.16	$9,332.54
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	52	$2,754.23	$2,754.23	$2,754.23
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	53	$691.83	$691.83	$691.83
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	62	$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,754.40 / $10,471.29	Facility		$1,621.81	$5,754.40	$10,471.29