Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $4,521.00 / $8,326.00	Facility		$1,965.00	$4,521.00	$8,326.00
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 $1,424.00 / $2,046.28 / $4,466.00	Facility		$1,424.00	$2,046.28	$4,466.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,254.64 / $2,254.64 / $4,223.56	Facility	62	$2,254.64	$2,254.64	$4,223.56
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $360.74 / $360.74 / $675.77	Facility	AS	$360.74	$360.74	$675.77
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