Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.90 / $3,821.00 / $12,600.00	Facility		$1,090.90	$3,821.00	$12,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $545.45 / $545.45 / $545.45	Facility	52	$545.45	$545.45	$545.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,064.35 / $41,196.28 / $65,115.23	Facility		$26,064.35	$41,196.28	$65,115.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $928.50 / $1,754.12 / $24,973.38	Facility		$928.50	$1,754.12	$24,973.38
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $72,931.03 / $72,931.03 / $72,931.03	Facility	52	$72,931.03	$72,931.03	$72,931.03
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $9,116.37 / $9,116.37 / $9,116.37	Facility	AS	$9,116.37	$9,116.37	$9,116.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,412.00 / $14,511.00 / $24,508.10	Facility		$3,412.00	$14,511.00	$24,508.10