Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.59 / $877.59 / $5,000.00	Facility		$685.59	$877.59	$5,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.59 / $892.29 / $1,555.07	Facility		$685.59	$892.29	$1,555.07