Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $8,511.38	Facility		$389.05	$389.05	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $1,174.90	Facility		$389.05	$501.19	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,677.35 / $5,128.61	Facility		$3,801.89	$4,677.35	$5,128.61