Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,684.00 / $18,600.00	Facility		$1,300.00	$3,684.00	$18,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $950.16 / $950.16 / $950.16	Facility	52	$950.16	$950.16	$950.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,395.77 / $2,166.35 / $5,833.89	Facility		$1,395.77	$2,166.35	$5,833.89
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,402.84 / $6,402.84 / $6,402.84	Facility	52	$6,402.84	$6,402.84	$6,402.84
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $800.36 / $800.36 / $800.36	Facility	AS	$800.36	$800.36	$800.36
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