Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $4,474.00 / $40,000.00	Facility		$1,671.00	$4,474.00	$40,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,500.01 / $12,873.60 / $21,056.38	Facility		$3,500.01	$12,873.60	$21,056.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,643.39 / $2,320.08 / $4,466.00	Facility		$1,643.39	$2,320.08	$4,466.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $865.80 / $865.80 / $1,602.53	Facility	53	$865.80	$865.80	$1,602.53
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,705.63 / $2,705.63 / $5,007.89	Facility	62	$2,705.63	$2,705.63	$5,007.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $3,269.00 / $6,416.00	Facility		$1,424.00	$3,269.00	$6,416.00