Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $3,819.00 / $7,960.15	Facility		$1,671.00	$3,819.00	$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 $2,042.09 / $2,508.30 / $4,486.00	Facility		$2,042.09	$2,508.30	$4,486.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,584.88 / $6,641.86 / $6,641.86	Facility	62	$3,584.88	$6,641.86	$6,641.86
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $573.58 / $1,062.70 / $1,062.70	Facility	AS	$573.58	$1,062.70	$1,062.70
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