Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,249.00 / $4,945.00 / $12,600.00	Facility		$2,249.00	$4,945.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $187.77 / $187.77	Professional		$163.05	$187.77	$187.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.05 / $353.77 / $3,295.00	Facility		$163.05	$353.77	$3,295.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $271.02 / $1,413.36	Professional		$199.09	$271.02	$1,413.36
United Facility/Professional Facility Modifier Low / Median / High Price $909.00 / $1,190.04 / $3,842.00	Facility		$909.00	$1,190.04	$3,842.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $264.24 / $339.56	Professional		$199.09	$264.24	$339.56