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 $1,567.36 / $2,176.84 / $4,435.00	Facility		$1,567.36	$2,176.84	$4,435.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,513.69 / $2,513.69 / $4,716.47	Facility	62	$2,513.69	$2,513.69	$4,716.47
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $402.19 / $402.19 / $754.64	Facility	AS	$402.19	$402.19	$754.64
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