Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $440.00 / $661.04	Facility		$43.50	$440.00	$661.04
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,592.50 / $1,592.50 / $2,966.40	Facility	QZ	$1,592.50	$1,592.50	$2,966.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $58.19 / $112.56	Facility		$44.24	$58.19	$112.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $202.02 / $3,480.00	Facility		$43.50	$202.02	$3,480.00