Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $11,100.08 / $54,638.00	Facility		$4,241.22	$11,100.08	$54,638.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $312.72 / $312.72 / $312.72	Facility	53	$312.72	$312.72	$312.72
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 $1,993.60 / $3,184.20 / $13,909.00	Facility		$1,993.60	$3,184.20	$13,909.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,602.53 / $1,602.53 / $1,602.53	Facility	53	$1,602.53	$1,602.53	$1,602.53
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $5,007.89 / $5,007.89 / $5,007.89	Facility	62	$5,007.89	$5,007.89	$5,007.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,142.14 / $3,852.23 / $5,263.09	Facility		$3,142.14	$3,852.23	$5,263.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $4,317.00 / $13,909.00	Facility		$3,054.00	$4,317.00	$13,909.00