Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $4,919.00 / $12,600.00	Facility		$1,930.00	$4,919.00	$12,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.32 / $871.68 / $6,496.00	Facility		$539.32	$871.68	$6,496.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $3,096.00 / $5,747.88	Facility		$1,436.00	$3,096.00	$5,747.88