Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $7,943.28	Facility		$2,041.74	$3,890.45	$7,943.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,365.16 / $7,943.28	Facility		$1,659.59	$4,365.16	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,786.30	Facility		$1,949.84	$2,570.40	$4,786.30
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,548.13 / $3,548.13 / $6,606.93	Facility	62	$3,548.13	$3,548.13	$6,606.93
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $575.44 / $575.44 / $1,071.52	Facility	AS	$575.44	$575.44	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,089.30 / $5,248.07	Facility		$831.76	$2,089.30	$5,248.07