Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $4,192.00 / $13,200.00	Facility		$1,392.00	$4,192.00	$13,200.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $696.76 / $696.76 / $696.76	Facility	52	$696.76	$696.76	$696.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,268.13 / $8,326.60 / $13,257.98	Facility		$5,268.13	$8,326.60	$13,257.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,243.72 / $2,049.36 / $6,184.00	Facility		$1,243.72	$2,049.36	$6,184.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $5,298.36 / $5,298.36 / $5,298.36	Facility	52	$5,298.36	$5,298.36	$5,298.36
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $4,139.34 / $4,139.34 / $4,139.34	Facility	62	$4,139.34	$4,139.34	$4,139.34
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $662.30 / $662.30 / $662.30	Facility	AS	$662.30	$662.30	$662.30
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,900.00 / $5,543.93	Facility		$875.00	$2,900.00	$5,543.93