Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $3,684.00 / $18,600.00	Facility		$1,346.00	$3,684.00	$18,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $3,097.78 / $6,155.68	Facility		$498.00	$3,097.78	$6,155.68
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,801.77 / $6,801.77 / $6,801.77	Facility	62	$6,801.77	$6,801.77	$6,801.77
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,088.28 / $1,088.28 / $1,088.28	Facility	AS	$1,088.28	$1,088.28	$1,088.28
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