Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $75.87 / $116.60	Professional		$66.88	$75.87	$116.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $73.98 / $121.01	Facility		$19.64	$73.98	$121.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $32.00 / $40.00	Professional		$28.00	$32.00	$40.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $128.26 / $1,919.00	Facility		$72.39	$128.26	$1,919.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $90.80 / $231.83	Professional		$70.37	$90.80	$231.83
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $85.38 / $158.88	Professional		$69.76	$85.38	$158.88