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 $158.49 / $194.98 / $239.88	Professional		$158.49	$194.98	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,019.95	Facility		$630.96	$2,041.74	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $389.05	Professional		$120.23	$186.21	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $331.13 / $3,311.31	Facility		$144.54	$331.13	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $436.52	Professional		$169.82	$223.87	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $4,677.35	Facility		$1,258.93	$1,995.26	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $389.05	Professional		$169.82	$208.93	$389.05