Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.03 / $695.03 / $8,500.00	Facility		$695.03	$695.03	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.03 / $973.31 / $2,085.09	Facility		$695.03	$973.31	$2,085.09