Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,280.00 / $5,506.00	Facility		$936.00	$2,280.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $247.50 / $2,640.00	Professional		$247.50	$247.50	$2,640.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,651.20 / $2,700.74	Facility		$438.60	$1,651.20	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $54.40 / $68.00	Professional		$47.60	$54.40	$68.00
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 $2,365.04 / $2,365.04 / $3,771.30	Professional		$2,365.04	$2,365.04	$3,771.30
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