Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,684.00 / $18,600.00	Facility		$1,300.00	$3,684.00	$18,600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,858.92 / $9,241.20 / $14,654.94	Facility		$5,858.92	$9,241.20	$14,654.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,703.59 / $2,830.49 / $5,833.89	Facility		$1,703.59	$2,830.49	$5,833.89
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,641.86 / $6,641.86 / $6,641.86	Facility	62	$6,641.86	$6,641.86	$6,641.86
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,062.70 / $1,062.70 / $1,062.70	Facility	AS	$1,062.70	$1,062.70	$1,062.70
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,760.00 / $6,155.68	Facility		$350.00	$1,760.00	$6,155.68