Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,684.00 / $18,600.00	Facility		$1,000.00	$3,684.00	$18,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $120.33 / $120.33 / $120.33	Facility	52	$120.33	$120.33	$120.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.54 / $338.08 / $5,882.00	Facility		$236.54	$338.08	$5,882.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $764.18 / $764.18 / $764.18	Facility	52	$764.18	$764.18	$764.18
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $597.02 / $597.02 / $597.02	Facility	62	$597.02	$597.02	$597.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $95.52 / $95.52 / $95.52	Facility	AS	$95.52	$95.52	$95.52
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,760.00 / $6,155.68	Facility		$350.00	$1,760.00	$6,155.68