Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,779.00 / $12,600.00	Facility		$1,000.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.20 / $736.77 / $995.11	Professional		$625.20	$736.77	$995.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $653.64 / $768.99 / $3,486.78	Facility		$653.64	$768.99	$3,486.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $805.25 / $1,110.17 / $6,755.28	Professional		$805.25	$1,110.17	$6,755.28
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.30 / $1,042.08 / $1,518.60	Professional		$786.30	$1,042.08	$1,518.60