Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $5,511.00 / $16,900.00	Facility		$1,392.00	$5,511.00	$16,900.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,164.52 / $4,134.00 / $14,587.03	Facility		$1,164.52	$4,134.00	$14,587.03
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,851.00 / $6,871.00 / $13,541.98	Facility		$1,851.00	$6,871.00	$13,541.98