Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.90 / $625.90 / $8,500.00	Facility		$625.90	$625.90	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.90 / $866.01 / $1,143.97	Facility		$625.90	$866.01	$1,143.97