Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.04 / $253.04 / $8,500.00	Facility		$253.04	$253.04	$8,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.52 / $126.52 / $126.52	Facility	52	$126.52	$126.52	$126.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.61 / $50.61 / $50.61	Facility	53	$50.61	$50.61	$50.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.04 / $328.95 / $681.00	Facility		$253.04	$328.95	$681.00
United Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $681.00 / $681.00	Facility		$681.00	$681.00	$681.00