Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.25 / $4,631.01 / $4,631.01	Facility		$749.25	$4,631.01	$4,631.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.25 / $1,046.25 / $2,247.75	Facility		$749.25	$1,046.25	$2,247.75