Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $8,500.00	Facility		$8,500.00	$8,500.00	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $681.00 / $1,819.00	Facility		$681.00	$681.00	$1,819.00
United Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $681.00 / $681.00	Facility		$681.00	$681.00	$681.00