Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,684.00 / $18,600.00	Facility		$1,300.00	$3,684.00	$18,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $723.71 / $723.71 / $723.71	Facility	52	$723.71	$723.71	$723.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,401.30 / $9,277.03 / $12,915.18	Facility		$6,401.30	$9,277.03	$12,915.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.13 / $1,731.84 / $5,415.32	Facility		$1,230.13	$1,731.84	$5,415.32
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $4,890.22 / $4,890.22 / $4,890.22	Facility	52	$4,890.22	$4,890.22	$4,890.22
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $611.28 / $611.28 / $611.28	Facility	AS	$611.28	$611.28	$611.28
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