Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.09 / $1,047.09 / $10,000.00	Facility		$1,047.09	$1,047.09	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.09 / $1,492.86 / $2,790.00	Facility		$1,047.09	$1,492.86	$2,790.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,790.00 / $2,790.00 / $2,790.00	Facility		$2,790.00	$2,790.00	$2,790.00