Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $575.28 / $575.28	Facility		$575.28	$575.28	$575.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.28 / $575.28 / $575.28	Professional		$575.28	$575.28	$575.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,493.06 / $2,164.52 / $3,798.60	Facility		$1,493.06	$2,164.52	$3,798.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.30 / $1,204.82 / $1,217.00	Professional		$1,095.30	$1,204.82	$1,217.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $575.28 / $1,006.74	Facility		$575.28	$575.28	$1,006.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,074.18	Professional		$750.00	$750.00	$1,074.18