Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $4,474.00 / $7,960.15	Facility		$1,671.00	$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 $2,562.48 / $3,339.57 / $5,869.29	Facility		$2,562.48	$3,339.57	$5,869.29
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $4,768.55 / $8,852.98 / $8,852.98	Facility	62	$4,768.55	$8,852.98	$8,852.98
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $762.97 / $1,416.48 / $1,416.48	Facility	AS	$762.97	$1,416.48	$1,416.48
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