Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $468.00 / $7,903.00	Facility		$55.00	$468.00	$7,903.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $390.82 / $679.44	Professional		$253.40	$390.82	$679.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $3,233.00 / $11,343.00	Facility		$1,185.00	$3,233.00	$11,343.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $374.78 / $766.54	Professional		$253.40	$374.78	$766.54