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 $1,794.00 / $2,421.98 / $4,466.00	Facility		$1,794.00	$2,421.98	$4,466.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,471.83 / $6,161.22 / $6,161.22	Facility	62	$3,471.83	$6,161.22	$6,161.22
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $555.49 / $985.80 / $985.80	Facility	AS	$555.49	$985.80	$985.80
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