Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $2,168.00	Facility		$54.55	$54.55	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $54.55 / $65.75	Professional		$51.92	$54.55	$65.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.42 / $1,575.52 / $2,762.53	Facility		$1,038.42	$1,575.52	$2,762.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $180.23 / $2,940.00	Facility		$54.55	$180.23	$2,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $118.91 / $239.42	Professional		$62.57	$118.91	$239.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $119.77 / $193.00	Professional		$62.23	$119.77	$193.00