Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.42 / $1,510.42 / $8,500.00	Facility		$1,510.42	$1,510.42	$8,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $755.21 / $755.21 / $755.21	Facility	52	$755.21	$755.21	$755.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,510.42 / $2,046.18 / $3,197.76	Facility		$1,510.42	$2,046.18	$3,197.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,790.00 / $2,790.00 / $2,790.00	Facility		$2,790.00	$2,790.00	$2,790.00