Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $2,662.50 / $2,926.50	Professional		$104.40	$2,662.50	$2,926.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.35 / $2,515.38 / $4,140.09	Facility		$672.35	$2,515.38	$4,140.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $475.20 / $594.00	Professional		$356.40	$475.20	$594.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,343.00 / $3,665.00 / $5,838.00	Facility		$2,343.00	$3,665.00	$5,838.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,343.00 / $3,339.00 / $5,838.00	Facility		$2,343.00	$3,339.00	$5,838.00