Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.59 / $128.59 / $128.59	Facility		$128.59	$128.59	$128.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.59 / $144.07 / $385.77	Facility		$128.59	$144.07	$385.77