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 $669.20 / $669.20 / $669.20	Facility	52	$669.20	$669.20	$669.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,137.64 / $1,606.08 / $5,415.32	Facility		$1,137.64	$1,606.08	$5,415.32
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $4,525.71 / $4,525.71 / $4,525.71	Facility	52	$4,525.71	$4,525.71	$4,525.71
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $565.71 / $565.71 / $565.71	Facility	AS	$565.71	$565.71	$565.71
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