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 / $109.65	Professional		$57.54	$57.54	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $660.69 / $1,348.96	Facility		$524.81	$660.69	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $186.21	Facility		$58.88	$97.72	$186.21
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 $109.65 / $501.19 / $645.65	Facility		$109.65	$501.19	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22