Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.85 / $264.85 / $264.85	Facility		$264.85	$264.85	$264.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.85 / $264.85 / $267.38	Professional		$264.85	$264.85	$267.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.49 / $448.83 / $528.03	Professional		$445.49	$448.83	$528.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.18 / $264.85 / $794.55	Facility		$243.18	$264.85	$794.55