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 $1,395.26 / $1,943.00 / $4,435.00	Facility		$1,395.26	$1,943.00	$4,435.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,208.19 / $2,208.19 / $4,114.74	Facility	62	$2,208.19	$2,208.19	$4,114.74
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $353.31 / $353.31 / $658.36	Facility	AS	$353.31	$353.31	$658.36
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