Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $104.65 / $8,500.00	Facility		$104.65	$104.65	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $154.22 / $313.95	Facility		$104.65	$154.22	$313.95