Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,655.00 / $8,865.00 / $21,180.31	Facility		$4,655.00	$8,865.00	$21,180.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $319.24 / $319.24 / $319.24	Facility	52	$319.24	$319.24	$319.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,867.78 / $12,855.80 / $22,561.09	Facility		$8,867.78	$12,855.80	$22,561.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.48 / $1,181.19 / $9,719.69	Facility		$638.48	$1,181.19	$9,719.69
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $12,302.24 / $12,302.24 / $12,302.24	Facility	52	$12,302.24	$12,302.24	$12,302.24
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,283.86 / $1,602.93 / $5,148.58	Facility		$1,283.86	$1,602.93	$5,148.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,777.00 / $8,220.00 / $9,696.00	Facility		$6,777.00	$8,220.00	$9,696.00