Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,400.00 / $5,400.00 / $5,400.00	Facility		$5,400.00	$5,400.00	$5,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $88.89 / $3,000.00	Facility		$60.60	$88.89	$3,000.00