Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.00 / $3,569.00 / $10,439.00	Facility		$1,495.00	$3,569.00	$10,439.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $254.58 / $1,087.00	Facility		$55.00	$254.58	$1,087.00
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00