Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $4,089.00 / $7,960.15	Facility		$1,671.00	$4,089.00	$7,960.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $7,173.28 / $10,860.55	Facility		$1,763.75	$7,173.28	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,232.36 / $1,595.37 / $9,712.00	Facility		$1,232.36	$1,595.37	$9,712.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,968.08 / $1,968.08 / $11,796.97	Facility	62	$1,968.08	$1,968.08	$11,796.97
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $314.89 / $314.89 / $1,887.52	Facility	AS	$314.89	$314.89	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,279.00 / $7,499.00 / $11,396.00	Facility		$5,279.00	$7,499.00	$11,396.00