Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,218.00 / $8,400.00	Facility		$1,000.00	$3,218.00	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $135.99 / $135.99 / $135.99	Facility	52	$135.99	$135.99	$135.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.39 / $54.39 / $54.39	Facility	53	$54.39	$54.39	$54.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,531.81 / $3,669.19 / $5,108.13	Facility		$2,531.81	$3,669.19	$5,108.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.73 / $366.14 / $3,590.15	Facility		$242.73	$366.14	$3,590.15
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,722.36 / $2,722.36 / $2,722.36	Facility	52	$2,722.36	$2,722.36	$2,722.36
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $680.59 / $680.59 / $680.59	Facility	53	$680.59	$680.59	$680.59
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