Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,454.71 / $6,606.93	Facility		$758.58	$2,454.71	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $549.54 / $2,570.40	Facility		$138.04	$549.54	$2,570.40
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	AS	$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $630.96 / $1,659.59	Facility		$138.04	$630.96	$1,659.59