Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $3,684.00 / $18,600.00	Facility		$1,346.00	$3,684.00	$18,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,835.83 / $5,882.00	Facility		$773.00	$1,835.83	$5,882.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,920.79 / $3,920.79 / $3,920.79	Facility	62	$3,920.79	$3,920.79	$3,920.79
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $627.33 / $627.33 / $627.33	Facility	AS	$627.33	$627.33	$627.33
United Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $2,545.00 / $6,155.68	Facility		$498.00	$2,545.00	$6,155.68