Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.68 / $1,375.68 / $10,000.00	Facility		$1,375.68	$1,375.68	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.68 / $1,375.68 / $1,604.52	Professional		$1,375.68	$1,375.68	$1,604.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,375.68 / $2,146.19 / $4,127.04	Facility		$1,375.68	$2,146.19	$4,127.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,070.46 / $3,688.18 / $5,082.05	Professional		$2,070.46	$3,688.18	$5,082.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,863.50 / $3,688.18 / $5,082.05	Professional		$1,863.50	$3,688.18	$5,082.05