Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $4,192.00 / $13,200.00	Facility		$1,300.00	$4,192.00	$13,200.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $577.29 / $577.29 / $577.29	Facility	52	$577.29	$577.29	$577.29
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 $1,030.46 / $1,485.89 / $6,698.00	Facility		$1,030.46	$1,485.89	$6,698.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,923.82 / $3,923.82 / $3,923.82	Facility	52	$3,923.82	$3,923.82	$3,923.82
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $490.48 / $490.48 / $490.48	Facility	AS	$490.48	$490.48	$490.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $5,910.00 / $10,296.00	Facility		$1,481.00	$5,910.00	$10,296.00