Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,576.00 / $7,500.00	Facility		$760.00	$3,576.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $167.16 / $179.95	Professional		$157.35	$167.16	$179.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.35 / $250.00 / $5,415.32	Facility		$157.35	$250.00	$5,415.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $206.76 / $425.63	Professional		$162.84	$206.76	$425.63
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,760.00 / $6,155.68	Facility		$350.00	$1,760.00	$6,155.68
United Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $203.55 / $298.92	Professional		$162.84	$203.55	$298.92