Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,909.00 / $12,600.00	Facility		$1,048.00	$3,909.00	$12,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $141.04 / $141.04 / $141.04	Facility	52	$141.04	$141.04	$141.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.36 / $4,614.14 / $7,317.23	Facility		$2,925.36	$4,614.14	$7,317.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.75 / $385.89 / $4,083.73	Facility		$251.75	$385.89	$4,083.73
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 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00