Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.05 / $2,221.05 / $4,828.00	Facility		$2,221.05	$2,221.05	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.81 / $2,221.05 / $2,221.05	Professional		$1,941.81	$2,221.05	$2,221.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,076.94 / $25,292.70 / $48,429.15	Facility		$16,076.94	$25,292.70	$48,429.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.59 / $1,076.99 / $1,076.99	Professional		$861.59	$1,076.99	$1,076.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,753.57 / $10,737.70 / $29,378.72	Facility		$3,753.57	$10,737.70	$29,378.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,549.04 / $3,182.45 / $5,806.64	Professional		$1,549.04	$3,182.45	$5,806.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,028.00 / $11,496.00 / $21,528.00	Facility		$5,028.00	$11,496.00	$21,528.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,788.44 / $3,697.12 / $5,940.66	Professional		$1,788.44	$3,697.12	$5,940.66