Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,684.00 / $18,600.00	Facility		$1,000.00	$3,684.00	$18,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $137.55 / $137.55	Professional		$137.55	$137.55	$137.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.55 / $2,012.00 / $10,198.00	Facility		$137.55	$2,012.00	$10,198.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $201.75 / $1,199.44	Professional		$135.02	$201.75	$1,199.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $5,524.00 / $9,232.95	Facility		$1,481.00	$5,524.00	$9,232.95
United Facility/Professional Professional Modifier Low / Median / High Price $132.25 / $178.47 / $256.06	Professional		$132.25	$178.47	$256.06