Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $5,011.87 / $30,199.52	Facility		$363.08	$5,011.87	$30,199.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $1,096.48	Facility		$363.08	$501.19	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,041.74	Facility		$1,819.70	$2,041.74	$2,041.74