Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.28 / $614.28 / $8,500.00	Facility		$614.28	$614.28	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.28 / $772.25 / $1,061.30	Facility		$614.28	$772.25	$1,061.30