Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.31 / $455.31 / $8,500.00	Facility		$455.31	$455.31	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.31 / $692.18 / $3,368.81	Facility		$455.31	$692.18	$3,368.81