Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $3,617.00 / $6,329.00	Facility		$1,671.00	$3,617.00	$6,329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,915.28	Professional		$1,875.00	$1,875.00	$1,915.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.25 / $6,640.00 / $10,860.55	Facility		$1,805.25	$6,640.00	$10,860.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,075.66 / $1,434.22 / $1,792.77	Professional		$1,075.66	$1,434.22	$1,792.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,627.99 / $2,173.00 / $4,466.00	Facility		$1,627.99	$2,173.00	$4,466.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $3,269.00 / $6,416.00	Facility		$1,424.00	$3,269.00	$6,416.00