Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $3,617.00 / $6,329.00	Facility		$1,671.00	$3,617.00	$6,329.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $6,598.50 / $10,860.55	Facility		$1,763.75	$6,598.50	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,212.89 / $1,698.05 / $4,276.00	Facility		$1,212.89	$1,698.05	$4,276.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,031.93 / $3,618.02 / $3,618.02	Facility	62	$2,031.93	$3,618.02	$3,618.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $325.11 / $578.88 / $578.88	Facility	AS	$325.11	$578.88	$578.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $3,269.00 / $14,572.00	Facility		$1,424.00	$3,269.00	$14,572.00