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 $452.57 / $763.23 / $6,496.00	Facility		$452.57	$763.23	$6,496.00
United Facility/Professional Facility Modifier Low / Median / High Price $955.00 / $3,096.00 / $5,562.00	Facility		$955.00	$3,096.00	$5,562.00