Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,405.80 / $21,144.87 / $33,649.15	Facility		$13,405.80	$21,144.87	$33,649.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.64 / $2,984.75 / $4,855.18	Professional		$501.64	$2,984.75	$4,855.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.97 / $3,939.73 / $11,495.55	Facility		$547.97	$3,939.73	$11,495.55
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $392.38 / $392.38 / $392.38	Facility	53	$392.38	$392.38	$392.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $196.19 / $196.19 / $196.19	Facility	AS	$196.19	$196.19	$196.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,995.53 / $4,475.67 / $20,972.32	Professional		$2,995.53	$4,475.67	$20,972.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,259.85 / $5,259.85 / $5,259.85	Facility		$5,259.85	$5,259.85	$5,259.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,863.78 / $4,174.85 / $5,737.67	Professional		$2,863.78	$4,174.85	$5,737.67