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
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.85 / $129.85 / $129.85	Facility	52	$129.85	$129.85	$129.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $338.78 / $2,969.00	Facility		$239.07	$338.78	$2,969.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $868.31 / $868.31 / $868.31	Facility	52	$868.31	$868.31	$868.31
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $108.54 / $108.54 / $108.54	Facility	AS	$108.54	$108.54	$108.54
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