Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $10,431.19 / $20,928.72	Facility		$4,241.22	$10,431.19	$20,928.72
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $803.49 / $803.49 / $803.49	Facility	52	$803.49	$803.49	$803.49
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 $1,606.98 / $2,715.80 / $3,867.30	Facility		$1,606.98	$2,715.80	$3,867.30
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,572.37 / $6,572.37 / $6,572.37	Facility	52	$6,572.37	$6,572.37	$6,572.37
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $821.55 / $821.55 / $821.55	Facility	AS	$821.55	$821.55	$821.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,731.77 / $3,949.74 / $5,366.01	Facility		$2,731.77	$3,949.74	$5,366.01
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