Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $100.00	Professional		$57.54	$57.54	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $134.90 / $134.90	Facility		$128.82	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $239.88	Facility		$58.88	$58.88	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,348.96	Facility		$977.24	$1,000.00	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $33.88	Professional		$16.22	$17.78	$33.88