Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $111.04	Facility		$111.04	$111.04	$111.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $111.04 / $127.14	Professional		$111.04	$111.04	$127.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $180.00 / $197.68	Facility		$129.62	$180.00	$197.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $114.37 / $165.66	Facility		$111.04	$114.37	$165.66