Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,576.00 / $8,400.00	Facility		$1,000.00	$3,576.00	$8,400.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,265.00 / $5,882.00	Facility		$350.00	$1,265.00	$5,882.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $187.11 / $187.11 / $187.11	Facility	AS	$187.11	$187.11	$187.11
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