Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $302.00	Professional		$104.71	$104.71	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $1,621.81	Facility		$162.18	$162.18	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $186.21 / $426.58	Facility		$104.71	$186.21	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $436.52 / $602.56	Facility		$426.58	$436.52	$602.56