Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.00 / $4,474.00 / $7,960.15	Facility		$1,888.00	$4,474.00	$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 $936.16 / $1,222.91 / $6,230.00	Facility		$936.16	$1,222.91	$6,230.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,120.64 / $3,923.82 / $3,923.82	Facility	52	$2,120.64	$3,923.82	$3,923.82
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $265.08 / $490.48 / $490.48	Facility	AS	$265.08	$490.48	$490.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,486.00 / $8,650.00	Facility		$1,539.00	$6,486.00	$8,650.00