Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $26.75 / $26.75	Facility		$26.75	$26.75	$26.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $30.17 / $39.10	Professional		$26.75	$30.17	$39.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $129.05 / $129.05	Professional		$129.05	$129.05	$129.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $30.17 / $57.82	Facility		$26.75	$30.17	$57.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $111.08 / $246.18	Professional		$76.15	$111.08	$246.18
United Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $108.92 / $151.19	Professional		$72.34	$108.92	$151.19