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 $996.67 / $996.67 / $996.67	Facility	52	$996.67	$996.67	$996.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,408.00 / $2,272.41 / $5,833.89	Facility		$1,408.00	$2,272.41	$5,833.89
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,724.98 / $6,724.98 / $6,724.98	Facility	52	$6,724.98	$6,724.98	$6,724.98
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $840.62 / $840.62 / $840.62	Facility	AS	$840.62	$840.62	$840.62
United Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $2,545.00 / $6,155.68	Facility		$580.00	$2,545.00	$6,155.68