Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.37 / $5,601.10 / $12,703.19	Facility		$1,014.37	$5,601.10	$12,703.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,014.37 / $1,695.71 / $3,043.11	Facility		$1,014.37	$1,695.71	$3,043.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,978.00 / $1,978.00 / $1,978.00	Facility		$1,978.00	$1,978.00	$1,978.00