Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,463.36 / $10,431.19 / $21,899.37	Facility		$5,463.36	$10,431.19	$21,899.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,877.26 / $21,567.85 / $37,850.17	Facility		$14,877.26	$21,567.85	$37,850.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,352.27 / $2,366.46 / $7,144.00	Facility		$1,352.27	$2,366.46	$7,144.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $13,156.44 / $13,156.44 / $13,156.44	Facility	62	$13,156.44	$13,156.44	$13,156.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,105.03 / $2,105.03 / $2,105.03	Facility	AS	$2,105.03	$2,105.03	$2,105.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,301.87 / $3,355.13 / $4,778.28	Facility		$2,301.87	$3,355.13	$4,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,777.00 / $8,220.00 / $9,696.00	Facility		$6,777.00	$8,220.00	$9,696.00