Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.03 / $696.03 / $8,500.00	Facility		$696.03	$696.03	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.03 / $1,021.19 / $1,243.17	Facility		$696.03	$1,021.19	$1,243.17