Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $3,600.00 / $12,154.00	Facility		$1,629.00	$3,600.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.86 / $2,974.17 / $2,974.17	Professional		$2,581.86	$2,974.17	$2,974.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,647.02 / $3,842.00	Facility		$1,031.00	$2,647.02	$3,842.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,736.36 / $5,145.93 / $22,396.80	Professional		$3,736.36	$5,145.93	$22,396.80
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,081.00 / $3,918.00	Facility		$825.00	$2,081.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,736.36 / $4,639.13 / $6,447.07	Professional		$3,736.36	$4,639.13	$6,447.07