Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.50 / $8,056.00 / $21,899.37	Facility		$4,570.50	$8,056.00	$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 $1,520.70 / $2,661.23 / $4,319.83	Facility		$1,520.70	$2,661.23	$4,319.83
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 $2,588.36 / $3,781.62 / $5,371.65	Facility		$2,588.36	$3,781.62	$5,371.65
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