Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.08 / $1,204.08 / $8,500.00	Facility		$1,204.08	$1,204.08	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,204.08 / $1,450.79 / $3,612.24	Facility		$1,204.08	$1,450.79	$3,612.24
United Facility/Professional Facility Modifier Low / Median / High Price $19,235.00 / $19,235.00 / $19,235.00	Facility		$19,235.00	$19,235.00	$19,235.00