Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $8,500.00	Facility		$1,041.81	$1,041.81	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,471.24	Professional		$1,041.81	$1,041.81	$1,471.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $3,125.43	Facility		$1,041.81	$1,041.81	$3,125.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,770.68 / $3,022.63 / $4,158.10	Professional		$1,770.68	$3,022.63	$4,158.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,770.68 / $3,002.29 / $4,158.10	Professional		$1,770.68	$3,002.29	$4,158.10