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 / $1,162.00 / $4,502.00	Facility		$55.00	$1,162.00	$4,502.00
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,934.00 / $5,562.00	Facility		$912.00	$1,934.00	$5,562.00