Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $855.25 / $855.25	Facility		$855.25	$855.25	$855.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.25 / $855.25 / $1,136.89	Professional		$855.25	$855.25	$1,136.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,216.35 / $1,648.48 / $3,094.62	Facility		$1,216.35	$1,648.48	$3,094.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $1,423.14 / $1,624.98	Facility		$855.25	$1,423.14	$1,624.98