Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $5,192.00 / $12,600.00	Facility		$1,930.00	$5,192.00	$12,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $858.09 / $2,690.00 / $26,542.00	Facility		$858.09	$2,690.00	$26,542.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,269.00 / $5,875.00 / $10,716.00	Facility		$2,269.00	$5,875.00	$10,716.00