Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.00 / $4,192.00 / $13,200.00	Facility		$1,293.00	$4,192.00	$13,200.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $414.62 / $414.62 / $414.62	Facility	52	$414.62	$414.62	$414.62
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 $787.78 / $1,090.69 / $5,975.00	Facility		$787.78	$1,090.69	$5,975.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,816.91 / $2,816.91 / $2,816.91	Facility	52	$2,816.91	$2,816.91	$2,816.91
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $352.11 / $352.11 / $352.11	Facility	AS	$352.11	$352.11	$352.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,054.00 / $7,077.94	Facility		$1,157.00	$4,054.00	$7,077.94