Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.96 / $1,633.96 / $8,500.00	Facility		$1,633.96	$1,633.96	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,633.96 / $1,965.20 / $2,765.21	Facility		$1,633.96	$1,965.20	$2,765.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.70 / $1,172.70 / $1,172.70	Facility		$1,172.70	$1,172.70	$1,172.70