Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.05 / $686.05 / $8,500.00	Facility		$686.05	$686.05	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.05 / $808.48 / $2,058.15	Facility		$686.05	$808.48	$2,058.15