Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.51 / $1,768.51 / $8,500.00	Facility		$1,768.51	$1,768.51	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,768.51 / $2,523.92 / $5,305.53	Facility		$1,768.51	$2,523.92	$5,305.53