Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.86 / $1,079.14 / $2,500.00	Facility		$241.86	$1,079.14	$2,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.86 / $902.49 / $2,105.29	Facility		$241.86	$902.49	$2,105.29
United Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $681.00 / $3,680.42	Facility		$681.00	$681.00	$3,680.42