Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $5,495.41 / $10,715.19	Facility		$208.93	$5,495.41	$10,715.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $295.12 / $630.96	Facility		$213.80	$295.12	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $5,128.61	Facility		$4,677.35	$5,128.61	$5,128.61