Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $4,919.00 / $12,600.00	Facility		$1,700.00	$4,919.00	$12,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.59 / $698.25 / $6,496.00	Facility		$409.59	$698.25	$6,496.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $3,096.00 / $5,565.00	Facility		$1,436.00	$3,096.00	$5,565.00