Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,677.35 / $8,317.64	Facility		$2,041.74	$4,677.35	$8,317.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,365.16 / $7,943.28	Facility		$1,659.59	$4,365.16	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $4,073.80	Facility		$1,230.27	$1,584.89	$4,073.80
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,630.27 / $2,630.27 / $4,897.79	Facility	52	$2,630.27	$2,630.27	$4,897.79
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $331.13 / $331.13 / $616.60	Facility	AS	$331.13	$331.13	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,089.30 / $5,248.07	Facility		$831.76	$2,089.30	$5,248.07