Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $724.44	Facility		$104.71	$104.71	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $338.84	Facility		$131.83	$173.78	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,230.27 / $4,365.16	Facility		$194.98	$1,230.27	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,230.27 / $4,570.88	Facility		$165.96	$1,230.27	$4,570.88