Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $138.01 / $330.05	Facility		$138.01	$138.01	$330.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.01 / $138.01 / $193.39	Professional		$138.01	$138.01	$193.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $234.62 / $873.48	Facility		$138.01	$234.62	$873.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $264.76 / $408.66	Professional		$208.24	$264.76	$408.66
United Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $264.76 / $511.68	Professional		$208.24	$264.76	$511.68