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 $150.81 / $162.84 / $164.06	Facility		$150.81	$162.84	$164.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $177.17	Facility		$104.22	$104.22	$177.17