Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $412.43	Facility		$412.43	$412.43	$412.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $412.43 / $429.48	Professional		$280.86	$412.43	$429.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.39 / $230.87 / $748.04	Facility		$205.39	$230.87	$748.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $140.35 / $140.35	Professional		$112.28	$140.35	$140.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $297.30 / $416.40 / $697.01	Facility		$297.30	$416.40	$697.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $168.32 / $168.32	Professional		$168.32	$168.32	$168.32
United Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $125.51 / $134.63	Professional		$114.17	$125.51	$134.63