Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,576.00 / $7,500.00	Facility		$760.00	$3,576.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.73 / $1,255.08 / $1,997.29	Facility		$795.73	$1,255.08	$1,997.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $394.00 / $394.00	Professional		$394.00	$394.00	$394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $400.00 / $1,541.00	Facility		$51.00	$400.00	$1,541.00
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00