Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,576.00 / $8,400.00	Facility		$1,000.00	$3,576.00	$8,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $136.74 / $147.32	Professional		$88.46	$136.74	$147.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.95 / $526.00 / $1,582.00	Facility		$100.95	$526.00	$1,582.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $146.50 / $263.36	Professional		$123.28	$146.50	$263.36
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $146.50 / $211.99	Professional		$123.28	$146.50	$211.99