Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.10 / $686.10 / $8,500.00	Facility		$686.10	$686.10	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.10 / $866.08 / $1,166.36	Facility		$686.10	$866.08	$1,166.36