Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $85.50	Facility		$85.50	$85.50	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $85.50 / $634.00	Professional		$85.50	$85.50	$634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.77 / $517.53 / $517.53	Facility		$462.77	$517.53	$517.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $132.53 / $162.44	Facility		$85.50	$132.53	$162.44