Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,600.00 / $12,154.00	Facility		$1,500.00	$3,600.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $27.92 / $60.82	Professional		$24.73	$27.92	$60.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $166.00 / $1,659.00	Facility		$27.18	$166.00	$1,659.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $1,176.27 / $1,681.64	Professional		$30.52	$1,176.27	$1,681.64
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $526.00 / $1,769.00	Facility		$191.00	$526.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $1,207.78 / $1,712.29	Professional		$29.07	$1,207.78	$1,712.29