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 $3,647.60 / $3,863.92 / $4,880.66	Facility		$3,647.60	$3,863.92	$4,880.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $99.45	Facility		$58.28	$58.28	$99.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $178.61 / $178.61	Professional		$178.61	$178.61	$178.61