Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $4,119.50 / $7,133.00	Facility		$1,735.00	$4,119.50	$7,133.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,729.00 / $3,729.00 / $4,945.50	Facility	50	$3,729.00	$3,729.00	$4,945.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $6,598.50 / $10,860.55	Facility		$1,763.75	$6,598.50	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,222.51 / $1,730.89 / $3,801.00	Facility		$1,222.51	$1,730.89	$3,801.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,961.90 / $5,298.36 / $5,298.36	Facility	52	$2,961.90	$5,298.36	$5,298.36
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,313.98 / $4,139.34 / $4,139.34	Facility	62	$2,313.98	$4,139.34	$4,139.34
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $370.24 / $662.30 / $662.30	Facility	AS	$370.24	$662.30	$662.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $3,339.00 / $5,838.00	Facility		$2,140.00	$3,339.00	$5,838.00