Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.83 / $627.83 / $8,500.00	Facility		$627.83	$627.83	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.83 / $785.61 / $1,087.42	Facility		$627.83	$785.61	$1,087.42