Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.87 / $677.87 / $8,500.00	Facility		$677.87	$677.87	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $677.87 / $925.39 / $1,168.31	Facility		$677.87	$925.39	$1,168.31