Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $3,803.00 / $18,600.00	Facility		$1,346.00	$3,803.00	$18,600.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $443.27 / $443.27 / $443.27	Facility	53	$443.27	$443.27	$443.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,327.17 / $6,272.82	Facility		$350.00	$2,327.17	$6,272.82
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,602.53 / $1,602.53 / $1,602.53	Facility	53	$1,602.53	$1,602.53	$1,602.53
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $5,007.89 / $5,007.89 / $5,007.89	Facility	62	$5,007.89	$5,007.89	$5,007.89
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