Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,640.00 / $6,060.00	Facility		$1,162.00	$2,640.00	$6,060.00
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 $350.35 / $673.22 / $1,944.00	Facility		$350.35	$673.22	$1,944.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $88.33 / $88.33 / $165.31	Facility	AS	$88.33	$88.33	$165.31
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00