Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.13 / $684.13 / $684.13	Facility		$684.13	$684.13	$684.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $52.09 / $766.13	Facility		$22.33	$52.09	$766.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $65.72 / $5,749.92	Professional		$36.15	$65.72	$5,749.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,844.09 / $1,844.09 / $1,844.09	Facility		$1,844.09	$1,844.09	$1,844.09
United Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $62.43 / $79.73	Professional		$36.15	$62.43	$79.73