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 $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $629.00 / $629.00	Professional		$629.00	$629.00	$629.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $525.53 / $4,083.73	Facility		$367.50	$525.53	$4,083.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,493.59 / $2,493.59 / $2,493.59	Professional		$2,493.59	$2,493.59	$2,493.59
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,083.73	Facility		$575.00	$1,928.00	$4,083.73