Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,928.00 / $16,400.00	Facility		$1,200.00	$4,928.00	$16,400.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.58 / $1,126.98 / $5,415.32	Facility		$787.58	$1,126.98	$5,415.32
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