Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.00 / $3,683.00 / $12,600.00	Facility		$957.00	$3,683.00	$12,600.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $247.87 / $247.87 / $380.02	Facility	54	$247.87	$247.87	$380.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,436.64 / $5,337.43 / $8,386.21	Facility		$3,436.64	$5,337.43	$8,386.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.12 / $506.69 / $1,883.00	Facility		$298.12	$506.69	$1,883.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,031.06 / $1,031.06 / $1,031.06	Facility	54	$1,031.06	$1,031.06	$1,031.06
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00