Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.23 / $412.23 / $412.23	Facility		$412.23	$412.23	$412.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.31 / $412.23 / $641.04	Professional		$396.31	$412.23	$641.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.60 / $1,795.03 / $3,876.00	Facility		$754.60	$1,795.03	$3,876.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,150.28 / $2,687.85 / $2,687.85	Professional		$2,150.28	$2,687.85	$2,687.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $615.41 / $845.66 / $1,260.96	Facility		$615.41	$845.66	$1,260.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,879.51 / $3,879.51 / $3,879.51	Professional		$3,879.51	$3,879.51	$3,879.51