Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $4,474.00 / $7,960.15	Facility		$1,671.00	$4,474.00	$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 $1,424.00 / $1,936.21 / $4,065.53	Facility		$1,424.00	$1,936.21	$4,065.53
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,567.28 / $6,572.37 / $6,572.37	Facility	52	$3,567.28	$6,572.37	$6,572.37
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $445.91 / $821.55 / $821.55	Facility	AS	$445.91	$821.55	$821.55
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