Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.48 / $401.48 / $8,500.00	Facility		$401.48	$401.48	$8,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $200.74 / $200.74 / $200.74	Facility	52	$200.74	$200.74	$200.74
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $301.11 / $301.11 / $301.11	Facility	54	$301.11	$301.11	$301.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $401.48 / $473.78 / $726.55	Facility		$401.48	$473.78	$726.55