Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.05 / $5,383.76 / $5,383.76	Facility		$499.05	$5,383.76	$5,383.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.05 / $725.25 / $1,096.88	Facility		$499.05	$725.25	$1,096.88