Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,260.00 / $5,506.00	Facility		$936.00	$2,260.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.60 / $400.00 / $1,861.60	Professional		$229.60	$400.00	$1,861.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,640.88 / $2,700.74	Facility		$412.80	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.40 / $239.20 / $278.07	Professional		$179.40	$239.20	$278.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,423.00 / $2,217.00	Facility		$716.00	$1,423.00	$2,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.28 / $379.28 / $547.84	Professional		$379.28	$379.28	$547.84
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00