Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $107.51 / $2,237.00	Facility		$67.92	$107.51	$2,237.00
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,265.00 / $2,637.00	Facility		$375.00	$1,265.00	$2,637.00