Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $4,192.00 / $13,200.00	Facility		$1,346.00	$4,192.00	$13,200.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $288.82 / $288.82 / $288.82	Facility	52	$288.82	$288.82	$288.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $115.53 / $115.53 / $115.53	Facility	53	$115.53	$115.53	$115.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.54 / $6,245.00 / $27,619.77	Facility		$574.54	$6,245.00	$27,619.77
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $41,267.12 / $41,267.12 / $41,267.12	Facility	52	$41,267.12	$41,267.12	$41,267.12
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $10,316.78 / $10,316.78 / $10,316.78	Facility	53	$10,316.78	$10,316.78	$10,316.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,412.00 / $15,500.00 / $27,810.86	Facility		$3,412.00	$15,500.00	$27,810.86