Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $118.53 / $8,500.00	Facility		$118.53	$118.53	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $150.41 / $204.21	Facility		$118.53	$150.41	$204.21