Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,612.00 / $7,500.00	Facility		$760.00	$3,612.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $76.45 / $90.16	Professional		$70.73	$76.45	$90.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,489.71 / $2,349.69 / $3,739.22	Facility		$1,489.71	$2,349.69	$3,739.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.64 / $91.75 / $1,470.67	Facility		$42.64	$91.75	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $79.95 / $152.71	Professional		$63.20	$79.95	$152.71
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $76.15 / $111.18	Professional		$60.92	$76.15	$111.18