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 / $7,225.00	Facility		$1,671.00	$3,617.00	$7,225.00
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 / $4,956.14 / $10,545.65	Facility		$1,778.00	$4,956.14	$10,545.65
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $7,273.03 / $7,273.03 / $13,549.59	Facility	62	$7,273.03	$7,273.03	$13,549.59
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,163.68 / $1,163.68 / $2,167.94	Facility	AS	$1,163.68	$1,163.68	$2,167.94
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