Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,640.00 / $6,060.00	Facility		$1,162.00	$2,640.00	$6,060.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.50 / $1,611.00 / $6,444.00	Professional		$758.50	$1,611.00	$6,444.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.35 / $2,211.19 / $3,616.69	Facility		$587.35	$2,211.19	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.09 / $1,410.40 / $1,763.00	Professional		$1,234.09	$1,410.40	$1,763.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,423.00 / $2,057.00	Facility		$716.00	$1,423.00	$2,057.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12,647.05 / $12,647.05 / $12,647.05	Professional		$12,647.05	$12,647.05	$12,647.05
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