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 $1,943.00 / $2,547.19 / $4,653.71	Facility		$1,943.00	$2,547.19	$4,653.71
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,766.27 / $6,964.51 / $6,964.51	Facility	62	$3,766.27	$6,964.51	$6,964.51
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $602.60 / $1,114.32 / $1,114.32	Facility	AS	$602.60	$1,114.32	$1,114.32
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