Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,576.00 / $7,500.00	Facility		$760.00	$3,576.00	$7,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.86 / $225.73 / $2,490.86	Facility		$119.86	$225.73	$2,490.86
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $68.43 / $68.43 / $68.43	Facility	AS	$68.43	$68.43	$68.43
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00