Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.42 / $1,039.42 / $8,500.00	Facility		$1,039.42	$1,039.42	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,039.42 / $1,463.76 / $3,118.26	Facility		$1,039.42	$1,463.76	$3,118.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,978.00 / $1,978.00 / $1,978.00	Facility		$1,978.00	$1,978.00	$1,978.00