Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $3,617.00 / $6,329.00	Facility		$1,671.00	$3,617.00	$6,329.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.25 / $6,640.00 / $10,860.55	Facility		$1,805.25	$6,640.00	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.00 / $2,887.79 / $5,283.68	Facility		$1,778.00	$2,887.79	$5,283.68
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,664.22 / $3,664.22 / $6,801.77	Facility	62	$3,664.22	$3,664.22	$6,801.77
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $586.28 / $586.28 / $1,088.28	Facility	AS	$586.28	$586.28	$1,088.28
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