Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.29 / $4,747.00 / $12,154.00	Facility		$1,196.29	$4,747.00	$12,154.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $251.10 / $2,009.00	Facility		$55.00	$251.10	$2,009.00
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,793.00	Facility		$525.00	$1,353.00	$2,793.00