Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $7,762.47	Facility		$2,089.30	$3,890.45	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $5,754.40	Professional		$2,137.96	$4,466.84	$5,754.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,981.07 / $5,888.44	Facility		$1,230.27	$3,981.07	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $1,479.11	Professional		$467.74	$489.78	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,772.37 / $18,197.01	Facility		$4,466.84	$9,772.37	$18,197.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $4,677.35	Professional		$776.25	$1,174.90	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,471.29 / $17,782.79	Facility		$4,570.88	$10,471.29	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $3,019.95	Professional		$776.25	$1,122.02	$3,019.95