Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $987.52	Professional		$640.00	$640.00	$987.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,452.73 / $3,549.39 / $6,139.22	Facility		$2,452.73	$3,549.39	$6,139.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $1,056.00 / $1,216.00	Facility		$640.00	$1,056.00	$1,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.04 / $1,146.04 / $1,146.04	Professional		$1,146.04	$1,146.04	$1,146.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,146.04 / $1,146.04 / $1,146.04	Facility		$1,146.04	$1,146.04	$1,146.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,146.04 / $1,146.04 / $1,146.04	Professional		$1,146.04	$1,146.04	$1,146.04