Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,612.00 / $8,400.00	Facility		$1,000.00	$3,612.00	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $173.25 / $173.25 / $173.25	Facility	52	$173.25	$173.25	$173.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.30 / $69.30 / $69.30	Facility	53	$69.30	$69.30	$69.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,994.68 / $6,300.77 / $9,991.92	Facility		$3,994.68	$6,300.77	$9,991.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.17 / $487.83 / $4,830.00	Facility		$329.17	$487.83	$4,830.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $8,067.84 / $8,067.84 / $8,067.84	Facility	52	$8,067.84	$8,067.84	$8,067.84
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $2,016.96 / $2,016.96 / $2,016.96	Facility	53	$2,016.96	$2,016.96	$2,016.96
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,875.93 / $5,543.93	Facility		$884.00	$2,875.93	$5,543.93