Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $52.39 / $8,500.00	Facility		$52.39	$52.39	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $72.20 / $75.87	Professional		$46.78	$72.20	$75.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $91.79 / $125.69	Facility		$52.39	$91.79	$125.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $140.19 / $201.37	Professional		$81.92	$140.19	$201.37
United Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $140.19 / $180.22	Professional		$81.92	$140.19	$180.22