Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.87 / $645.87 / $8,500.00	Facility		$645.87	$645.87	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.87 / $857.45 / $1,103.22	Facility		$645.87	$857.45	$1,103.22