Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $7,655.00 / $13,151.00	Facility		$1,930.00	$7,655.00	$13,151.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $526.75 / $1,296.00	Facility		$55.00	$526.75	$1,296.00
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00