Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,508.00 / $7,500.00	Facility		$625.00	$2,508.00	$7,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $345.65 / $2,490.86	Facility		$184.44	$345.65	$2,490.86
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $107.63 / $107.63 / $107.63	Facility	AS	$107.63	$107.63	$107.63
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00