Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.76 / $9,947.35 / $9,947.35	Facility		$1,175.76	$9,947.35	$9,947.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,175.76 / $1,694.85 / $2,790.00	Facility		$1,175.76	$1,694.85	$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