Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $7,365.00 / $13,151.00	Facility		$1,175.00	$7,365.00	$13,151.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $251.28 / $4,478.00	Facility		$55.00	$251.28	$4,478.00
United Facility/Professional Facility Modifier Low / Median / High Price $783.00 / $1,743.00 / $8,198.00	Facility		$783.00	$1,743.00	$8,198.00