Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.99 / $209.99 / $4,828.00	Facility		$209.99	$209.99	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $209.99 / $209.99	Professional		$183.59	$209.99	$209.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,935.50 / $9,028.58 / $15,881.00	Facility		$5,935.50	$9,028.58	$15,881.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.76 / $426.82 / $9,427.92	Facility		$337.76	$426.82	$9,427.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $460.02 / $925.98	Professional		$273.39	$460.02	$925.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $414.39 / $849.90	Professional		$235.00	$414.39	$849.90