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
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,723.87 / $3,683.05 / $5,882.00	Facility		$1,723.87	$3,683.05	$5,882.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $8,852.98 / $8,852.98 / $8,852.98	Facility	62	$8,852.98	$8,852.98	$8,852.98
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,416.48 / $1,416.48 / $1,416.48	Facility	AS	$1,416.48	$1,416.48	$1,416.48
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