Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,630.27 / $6,760.83	Facility		$302.00	$2,630.27	$6,760.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $6,918.31	Facility		$2,754.23	$4,365.16	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $3,981.07	Facility		$199.53	$323.59	$3,981.07
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	52	$3,715.35	$3,715.35	$3,715.35
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	53	$933.25	$933.25	$933.25
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	62	$2,884.03	$2,884.03	$2,884.03
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	AS	$467.74	$467.74	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,995.26 / $3,981.07	Facility		$575.44	$1,995.26	$3,981.07