Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,249.00 / $4,945.00 / $12,600.00	Facility		$2,249.00	$4,945.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.13 / $891.84 / $968.76	Professional		$807.13	$891.84	$968.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,770.10 / $4,770.10 / $4,770.10	Facility		$4,770.10	$4,770.10	$4,770.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.75 / $1,203.75 / $1,203.75	Professional		$1,203.75	$1,203.75	$1,203.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.84 / $1,485.00 / $5,562.00	Facility		$891.84	$1,485.00	$5,562.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.61 / $1,252.88 / $1,980.69	Professional		$1,023.61	$1,252.88	$1,980.69
United Facility/Professional Facility Modifier Low / Median / High Price $633.04 / $2,566.00 / $5,565.00	Facility		$633.04	$2,566.00	$5,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.13 / $1,238.19 / $1,980.69	Professional		$1,011.13	$1,238.19	$1,980.69