Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.27 / $564.29 / $3,790.62	Facility		$387.27	$564.29	$3,790.62
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $3,790.62	Facility		$575.00	$1,928.00	$3,790.62