Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Facility		$1,875.00	$1,875.00	$1,875.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,125.00	Professional		$1,875.00	$1,875.00	$2,125.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,713.20 / $8,073.15 / $16,296.91	Facility		$2,713.20	$8,073.15	$16,296.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,278.53 / $2,768.57 / $2,768.57	Professional		$2,278.53	$2,768.57	$2,768.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,987.50 / $3,954.00	Facility		$1,875.00	$1,987.50	$3,954.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,588.36 / $6,588.36 / $6,588.36	Professional		$6,588.36	$6,588.36	$6,588.36
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $3,500.00 / $8,152.00	Facility		$796.00	$3,500.00	$8,152.00