Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.66 / $662.66 / $8,500.00	Facility		$662.66	$662.66	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.66 / $873.75 / $1,126.52	Facility		$662.66	$873.75	$1,126.52