Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,779.00 / $12,600.00	Facility		$1,048.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $293.08 / $293.08	Professional		$293.08	$293.08	$293.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $526.00 / $1,582.00	Facility		$155.00	$526.00	$1,582.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.99 / $426.94 / $626.99	Professional		$308.99	$426.94	$626.99
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $774.00 / $1,615.00	Facility		$139.00	$774.00	$1,615.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.86 / $418.40 / $555.02	Professional		$298.86	$418.40	$555.02