Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,684.00 / $18,600.00	Facility		$1,000.00	$3,684.00	$18,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,265.00 / $5,882.00	Facility		$350.00	$1,265.00	$5,882.00
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