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 $1,425.46 / $1,889.36 / $4,015.04	Facility		$1,425.46	$1,889.36	$4,015.04
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,473.16 / $6,402.84 / $6,402.84	Facility	52	$3,473.16	$6,402.84	$6,402.84
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $434.15 / $800.36 / $800.36	Facility	AS	$434.15	$800.36	$800.36
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