Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,742.00 / $18,600.00	Facility		$1,300.00	$3,742.00	$18,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $659.31 / $659.31 / $659.31	Facility	52	$659.31	$659.31	$659.31
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $263.72 / $263.72 / $263.72	Facility	53	$263.72	$263.72	$263.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,951.01 / $9,242.51 / $14,465.62	Facility		$5,951.01	$9,242.51	$14,465.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,094.00 / $1,582.33 / $4,370.79	Facility		$1,094.00	$1,582.33	$4,370.79
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
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,760.00 / $6,155.68	Facility		$350.00	$1,760.00	$6,155.68