Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $159.71 / $8,500.00	Facility		$159.71	$159.71	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $220.58 / $220.58	Professional		$159.71	$220.58	$220.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.43 / $478.02 / $562.38	Professional		$400.43	$478.02	$562.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $271.51 / $479.13	Facility		$159.71	$271.51	$479.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $427.43 / $613.88	Professional		$261.20	$427.43	$613.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,640.00 / $4,640.00 / $4,640.00	Facility		$4,640.00	$4,640.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.95 / $332.44 / $512.14	Professional		$244.95	$332.44	$512.14