Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.52 / $1,689.52 / $4,154.55	Professional		$1,689.52	$1,689.52	$4,154.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.35 / $3,024.18 / $4,977.53	Facility		$808.35	$3,024.18	$4,977.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.84 / $291.79 / $364.74	Professional		$218.84	$291.79	$364.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,424.00 / $2,041.00	Facility		$704.00	$1,424.00	$2,041.00
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00