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 / $1,087.00 / $2,590.00	Facility		$55.00	$1,087.00	$2,590.00
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,793.00	Facility		$525.00	$1,353.00	$2,793.00