Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $3,683.00 / $7,500.00	Facility		$750.00	$3,683.00	$7,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.53 / $100.00 / $1,883.00	Facility		$69.53	$100.00	$1,883.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $16.85 / $31.79 / $31.79	Facility	AS	$16.85	$31.79	$31.79
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00