Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Professional		$58.28	$58.28	$109.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.17 / $133.49 / $143.80	Facility		$101.17	$133.49	$143.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.68 / $421.68 / $421.68	Professional		$421.68	$421.68	$421.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $241.58	Facility		$58.28	$58.28	$241.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $178.61 / $178.61	Professional		$178.61	$178.61	$178.61
United Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $17.98 / $80.56	Professional		$16.35	$17.98	$80.56