Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $4,474.00 / $7,960.15	Facility		$1,671.00	$4,474.00	$7,960.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,660.00 / $6,198.03 / $10,860.55	Facility		$1,660.00	$6,198.03	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,729.96 / $3,732.91 / $6,791.99	Facility		$2,729.96	$3,732.91	$6,791.99
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $5,347.23 / $9,961.85 / $9,961.85	Facility	62	$5,347.23	$9,961.85	$9,961.85
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $855.56 / $1,593.90 / $1,593.90	Facility	AS	$855.56	$1,593.90	$1,593.90
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $2,572.00 / $14,572.00	Facility		$175.00	$2,572.00	$14,572.00