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 $656.25 / $656.25 / $656.25	Professional		$656.25	$656.25	$656.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.46 / $6,117.46 / $9,735.10	Facility		$3,878.46	$6,117.46	$9,735.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $1,122.00 / $1,122.00	Professional		$1,122.00	$1,122.00	$1,122.00
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 $3,840.00 / $3,840.00 / $3,840.00	Professional		$3,840.00	$3,840.00	$3,840.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,054.00 / $7,077.94	Facility		$1,157.00	$4,054.00	$7,077.94