Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.28 / $1,395.28 / $8,500.00	Facility		$1,395.28	$1,395.28	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.69 / $1,395.28 / $1,395.28	Professional		$813.69	$1,395.28	$1,395.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,581.61 / $2,845.51 / $3,336.50	Professional		$2,581.61	$2,845.51	$3,336.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,395.28 / $1,822.73 / $2,187.27	Facility		$1,395.28	$1,822.73	$2,187.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,416.88 / $2,470.37 / $3,484.09	Professional		$1,416.88	$2,470.37	$3,484.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,978.00 / $1,978.00 / $1,978.00	Facility		$1,978.00	$1,978.00	$1,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.88 / $2,507.88 / $3,117.14	Professional		$1,416.88	$2,507.88	$3,117.14