Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,684.00 / $18,600.00	Facility		$1,000.00	$3,684.00	$18,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.64 / $422.32 / $5,833.89	Facility		$256.64	$422.32	$5,833.89
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $120.05 / $120.05 / $120.05	Facility	AS	$120.05	$120.05	$120.05
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