Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.22 / $1,066.73 / $4,034.05	Facility		$751.22	$1,066.73	$4,034.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.22 / $751.22 / $751.22	Professional		$751.22	$751.22	$751.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.58 / $442.85 / $736.53	Facility		$112.58	$442.85	$736.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $203.88 / $290.52	Professional		$140.16	$203.88	$290.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $514.73 / $2,204.14	Facility		$392.09	$514.73	$2,204.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $419.68 / $456.34 / $669.76	Professional		$419.68	$456.34	$669.76
United Facility/Professional Facility Modifier Low / Median / High Price $508.04 / $508.04 / $1,110.92	Facility		$508.04	$508.04	$1,110.92
United Facility/Professional Professional Modifier Low / Median / High Price $400.32 / $446.64 / $829.92	Professional		$400.32	$446.64	$829.92