Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,612.00 / $8,400.00	Facility		$838.00	$3,612.00	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.09 / $105.09 / $105.09	Facility	52	$105.09	$105.09	$105.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,114.98 / $1,497.40 / $2,169.03	Facility		$1,114.98	$1,497.40	$2,169.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.11 / $300.54 / $4,000.00	Facility		$202.11	$300.54	$4,000.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,716.72 / $3,716.72 / $3,716.72	Facility	52	$3,716.72	$3,716.72	$3,716.72
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,760.00 / $4,012.00	Facility		$575.00	$1,760.00	$4,012.00