Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,047.13	Professional		$691.83	$1,047.13	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $776.25	Facility		$446.68	$457.09	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $141.25	Professional		$112.20	$141.25	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,778.28	Facility		$691.83	$1,047.13	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,737.80	Facility		$1,258.93	$1,258.93	$1,737.80