Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $4,192.00 / $13,200.00	Facility		$1,300.00	$4,192.00	$13,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.03 / $193.03 / $193.03	Professional		$193.03	$193.03	$193.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,103.34 / $3,317.58 / $5,279.47	Facility		$2,103.34	$3,317.58	$5,279.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $3,948.00 / $9,451.59	Facility		$193.03	$3,948.00	$9,451.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $251.85 / $366.76	Professional		$207.28	$251.85	$366.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $5,524.00 / $9,232.95	Facility		$1,481.00	$5,524.00	$9,232.95
United Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $257.23 / $332.16	Professional		$199.79	$257.23	$332.16