Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,463.36 / $11,668.15 / $24,068.03	Facility		$5,463.36	$11,668.15	$24,068.03
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $286.35 / $286.35 / $286.35	Facility	52	$286.35	$286.35	$286.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $114.54 / $114.54 / $114.54	Facility	53	$114.54	$114.54	$114.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,547.24 / $20,448.87 / $39,554.72	Facility		$15,547.24	$20,448.87	$39,554.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.18 / $1,403.20 / $18,892.68	Facility		$730.18	$1,403.20	$18,892.68
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $25,403.20 / $25,403.20 / $25,403.20	Facility	52	$25,403.20	$25,403.20	$25,403.20
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $6,350.80 / $6,350.80 / $6,350.80	Facility	53	$6,350.80	$6,350.80	$6,350.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,146.34 / $1,385.60 / $1,659.51	Facility		$1,146.34	$1,385.60	$1,659.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,777.00 / $8,220.00 / $9,696.00	Facility		$6,777.00	$8,220.00	$9,696.00