Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,825.00 / $7,542.00	Facility		$803.00	$2,825.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $3,944.00 / $12,040.00	Professional		$975.00	$3,944.00	$12,040.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.37 / $182.79 / $182.79	Professional		$155.37	$182.79	$182.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.46 / $334.46 / $451.52	Professional		$334.46	$334.46	$451.52