Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.89 / $648.89 / $8,500.00	Facility		$648.89	$648.89	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $648.89 / $875.06 / $1,155.58	Facility		$648.89	$875.06	$1,155.58