Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Facility		$104.22	$104.22	$104.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Professional		$104.22	$104.22	$104.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $162.84 / $1,865.44	Facility		$140.25	$162.84	$1,865.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $176.13 / $421.85	Facility		$104.22	$176.13	$421.85