Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.66 / $769.23 / $2,500.00	Facility		$626.66	$769.23	$2,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.66 / $862.84 / $1,331.23	Facility		$626.66	$862.84	$1,331.23