Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,612.00 / $18,600.00	Facility		$760.00	$3,612.00	$18,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $249.98 / $5,882.00	Facility		$174.81	$249.98	$5,882.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $40.35 / $75.98 / $75.98	Facility	AS	$40.35	$75.98	$75.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,424.00 / $7,077.94	Facility		$1,157.00	$4,424.00	$7,077.94