Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $4,365.00 / $13,200.00	Facility		$1,346.00	$4,365.00	$13,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.81 / $132.81 / $132.81	Professional		$132.81	$132.81	$132.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.81 / $6,926.00 / $20,697.14	Facility		$132.81	$6,926.00	$20,697.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $68.30 / $2,757.36	Professional		$44.79	$68.30	$2,757.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,228.00 / $9,742.04 / $20,190.00	Facility		$3,228.00	$9,742.04	$20,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $60.59 / $178.01	Professional		$42.15	$60.59	$178.01