Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.76 / $2,445.00 / $7,500.00	Facility		$481.76	$2,445.00	$7,500.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.47 / $67.83 / $169.41	Facility	53	$33.47	$67.83	$169.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.40 / $1,285.77 / $1,862.48	Facility		$957.40	$1,285.77	$1,862.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $339.16 / $1,760.00	Facility		$167.40	$339.16	$1,760.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $140.78 / $140.78 / $140.78	Facility	53	$140.78	$140.78	$140.78
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00