Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,683.00 / $7,500.00	Facility		$882.00	$3,683.00	$7,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.99 / $501.56 / $2,490.86	Facility		$328.99	$501.56	$2,490.86
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $541.86 / $1,025.63 / $1,025.63	Facility	62	$541.86	$1,025.63	$1,025.63
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $86.70 / $164.10 / $164.10	Facility	AS	$86.70	$164.10	$164.10
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00