Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,779.00 / $12,600.00	Facility		$1,200.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,632.97 / $1,632.97 / $1,632.97	Professional		$1,632.97	$1,632.97	$1,632.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,091.00 / $2,495.00 / $7,992.00	Facility		$1,091.00	$2,495.00	$7,992.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,604.11 / $2,205.65 / $10,208.56	Professional		$1,604.11	$2,205.65	$10,208.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,091.00 / $4,054.00 / $7,077.94	Facility		$1,091.00	$4,054.00	$7,077.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,604.11 / $2,205.65 / $3,264.57	Professional		$1,604.11	$2,205.65	$3,264.57