Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $55.00 / $55.00	Facility		$35.00	$55.00	$55.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $60.00	Professional		$35.00	$50.00	$60.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $2,750.00 / $3,186.15	Facility		$1,925.00	$2,750.00	$3,186.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $110.00	Professional		$50.00	$65.00	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $66.00 / $90.00	Professional		$50.00	$66.00	$90.00