Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,724.56 / $4,387.00 / $10,439.00	Facility		$1,724.56	$4,387.00	$10,439.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.80 / $1,054.29 / $3,331.00	Facility		$153.80	$1,054.29	$3,331.00
United Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $2,081.00 / $3,918.00	Facility		$871.00	$2,081.00	$3,918.00