Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $1,106.55 / $2,228.67	Professional		$224.96	$1,106.55	$2,228.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.30 / $3,321.60 / $5,432.89	Facility		$882.30	$3,321.60	$5,432.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,364.06 / $2,228.67 / $4,524.20	Facility		$1,364.06	$2,228.67	$4,524.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,048.73 / $1,353.20 / $3,455.18	Professional		$1,048.73	$1,353.20	$3,455.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $3,269.00 / $5,491.00	Facility		$1,519.00	$3,269.00	$5,491.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.91 / $1,251.71 / $2,472.09	Professional		$1,014.91	$1,251.71	$2,472.09