Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.27 / $410.27 / $10,500.00	Facility		$410.27	$410.27	$10,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.27 / $410.27 / $413.60	Professional		$410.27	$410.27	$413.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $410.27 / $603.91 / $1,230.81	Facility		$410.27	$603.91	$1,230.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $641.30 / $1,145.31 / $1,577.05	Professional		$641.30	$1,145.31	$1,577.05
United Facility/Professional Professional Modifier Low / Median / High Price $707.07 / $1,278.07 / $1,577.05	Professional		$707.07	$1,278.07	$1,577.05