Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.00 / $2,290.00 / $4,338.00	Facility		$2,290.00	$2,290.00	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.52 / $1,689.52 / $3,493.77	Professional		$1,689.52	$1,689.52	$3,493.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00