Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,455.14 / $1,913.91 / $3,702.11	Facility		$1,455.14	$1,913.91	$3,702.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $45.00 / $52.50	Facility		$30.00	$45.00	$52.50