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 $1,510.87 / $1,821.71 / $3,757.75	Facility		$1,510.87	$1,821.71	$3,757.75
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,265.50 / $5,982.62 / $5,982.62	Facility	52	$3,265.50	$5,982.62	$5,982.62
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $408.19 / $747.83 / $747.83	Facility	AS	$408.19	$747.83	$747.83
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