Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.53 / $124.53 / $10,500.00	Facility		$124.53	$124.53	$10,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.53 / $167.93 / $471.60	Facility		$124.53	$167.93	$471.60