Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $7,655.00 / $13,151.00	Facility		$1,930.00	$7,655.00	$13,151.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,058.75 / $4,201.00	Facility		$55.00	$1,058.75	$4,201.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $3,096.00 / $5,565.00	Facility		$1,436.00	$3,096.00	$5,565.00