Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.05 / $222.05 / $10,000.00	Facility		$222.05	$222.05	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.05 / $279.94 / $666.15	Facility		$222.05	$279.94	$666.15