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 $183.59 / $183.59 / $183.59	Professional		$183.59	$183.59	$183.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $2,059.00 / $7,214.89	Facility		$183.59	$2,059.00	$7,214.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $280.60 / $1,708.08	Professional		$190.81	$280.60	$1,708.08
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 $179.58 / $258.14 / $373.76	Professional		$179.58	$258.14	$373.76