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 $892.56 / $892.56 / $892.56	Facility	52	$892.56	$892.56	$892.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,951.01 / $9,242.51 / $14,465.62	Facility		$5,951.01	$9,242.51	$14,465.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,395.77 / $2,035.03 / $5,833.89	Facility		$1,395.77	$2,035.03	$5,833.89
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $5,994.70 / $5,994.70 / $5,994.70	Facility	52	$5,994.70	$5,994.70	$5,994.70
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $749.34 / $749.34 / $749.34	Facility	AS	$749.34	$749.34	$749.34
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