Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.07 / $494.07 / $8,500.00	Facility		$494.07	$494.07	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.07 / $683.19 / $1,482.21	Facility		$494.07	$683.19	$1,482.21