Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $700.70 / $1,005.72	Facility		$318.75	$700.70	$1,005.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $318.75	Professional		$318.75	$318.75	$318.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.32 / $881.35 / $1,654.52	Facility		$650.32	$881.35	$1,654.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $510.00 / $589.69	Facility		$318.75	$510.00	$589.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,274.91 / $1,274.91 / $1,274.91	Professional		$1,274.91	$1,274.91	$1,274.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $289.11 / $349.11 / $464.50	Facility		$289.11	$349.11	$464.50