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 $1,511.49 / $1,810.75 / $3,774.95	Facility		$1,511.49	$1,810.75	$3,774.95
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,248.06 / $5,994.70 / $5,994.70	Facility	52	$3,248.06	$5,994.70	$5,994.70
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $406.01 / $749.34 / $749.34	Facility	AS	$406.01	$749.34	$749.34
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