Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,779.00 / $12,600.00	Facility		$1,048.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $656.25 / $656.25	Professional		$49.01	$656.25	$656.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,374.38 / $8,476.95 / $13,489.91	Facility		$5,374.38	$8,476.95	$13,489.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,173.00 / $3,173.00 / $3,173.00	Professional		$3,173.00	$3,173.00	$3,173.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $1,091.00 / $7,718.62	Facility		$656.25	$1,091.00	$7,718.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,365.79 / $3,365.79 / $3,365.79	Professional		$3,365.79	$3,365.79	$3,365.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $3,858.00 / $7,077.94	Facility		$1,157.00	$3,858.00	$7,077.94