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 $238.36 / $690.00 / $5,882.00	Facility		$238.36	$690.00	$5,882.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $876.02 / $876.02 / $876.02	Facility	62	$876.02	$876.02	$876.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $140.16 / $140.16 / $140.16	Facility	AS	$140.16	$140.16	$140.16
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