Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,779.00 / $12,600.00	Facility		$1,048.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $348.75 / $348.75	Professional		$348.75	$348.75	$348.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $348.75 / $2,709.00 / $7,214.89	Facility		$348.75	$2,709.00	$7,214.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.14 / $508.71 / $3,041.92	Professional		$360.14	$508.71	$3,041.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,612.45 / $8,550.44	Facility		$1,157.00	$4,612.45	$8,550.44
United Facility/Professional Professional Modifier Low / Median / High Price $351.66 / $467.13 / $689.81	Professional		$351.66	$467.13	$689.81