Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.07 / $104.07 / $104.07	Facility		$104.07	$104.07	$104.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $174.58 / $337.69	Facility		$132.72	$174.58	$337.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.76 / $1,242.00 / $4,406.00	Facility		$194.76	$1,242.00	$4,406.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00