Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.74 / $624.74 / $8,500.00	Facility		$624.74	$624.74	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $624.74 / $791.68 / $1,093.63	Facility		$624.74	$791.68	$1,093.63