Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $5,011.87 / $12,589.25	Facility		$549.54	$5,011.87	$12,589.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,890.45	Facility		$1,548.82	$1,995.26	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $660.69	Facility		$37.15	$63.10	$660.69
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	52	$912.01	$912.01	$912.01
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	53	$229.09	$229.09	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $123.03	Professional		$75.86	$95.50	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,230.27 / $4,466.84	Facility		$549.54	$1,230.27	$4,466.84