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 $356.01 / $513.40 / $4,126.00	Facility		$356.01	$513.40	$4,126.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $541.99 / $1,020.88 / $1,020.88	Facility	62	$541.99	$1,020.88	$1,020.88
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $86.72 / $163.34 / $163.34	Facility	AS	$86.72	$163.34	$163.34
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00