Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $2,923.00 / $7,500.00	Facility		$682.00	$2,923.00	$7,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $575.00 / $4,000.00	Facility		$139.00	$575.00	$4,000.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $119.44 / $119.44 / $119.44	Facility	AS	$119.44	$119.44	$119.44
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00