Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.80 / $1,736.80 / $9,500.00	Facility		$1,736.80	$1,736.80	$9,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $868.40 / $868.40 / $868.40	Facility	52	$868.40	$868.40	$868.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,736.80 / $2,354.62 / $3,167.55	Facility		$1,736.80	$2,354.62	$3,167.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,978.00 / $1,978.00 / $1,978.00	Facility		$1,978.00	$1,978.00	$1,978.00