Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $8,477.27 / $20,928.72	Facility		$4,241.22	$8,477.27	$20,928.72
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $540.04 / $540.04 / $540.04	Facility	52	$540.04	$540.04	$540.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $216.02 / $216.02 / $216.02	Facility	53	$216.02	$216.02	$216.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,584.12 / $13,894.28 / $24,383.56	Facility		$9,584.12	$13,894.28	$24,383.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,080.09 / $1,836.17 / $2,671.09	Facility		$1,080.09	$1,836.17	$2,671.09
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $4,456.67 / $4,456.67 / $4,456.67	Facility	52	$4,456.67	$4,456.67	$4,456.67
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,114.17 / $1,114.17 / $1,114.17	Facility	53	$1,114.17	$1,114.17	$1,114.17
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $557.08 / $557.08 / $557.08	Facility	AS	$557.08	$557.08	$557.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,914.00 / $2,678.29 / $3,590.31	Facility		$1,914.00	$2,678.29	$3,590.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $4,317.00 / $13,909.00	Facility		$3,054.00	$4,317.00	$13,909.00