Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $3,437.00 / $7,960.15	Facility		$1,671.00	$3,437.00	$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 $1,095.33 / $1,394.06 / $2,774.71	Facility		$1,095.33	$1,394.06	$2,774.71
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,406.42 / $4,456.67 / $4,456.67	Facility	52	$2,406.42	$4,456.67	$4,456.67
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $601.61 / $1,114.17 / $1,114.17	Facility	53	$601.61	$1,114.17	$1,114.17
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $300.80 / $557.08 / $557.08	Facility	AS	$300.80	$557.08	$557.08
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