Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.06 / $1,255.06 / $10,000.00	Facility		$1,255.06	$1,255.06	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,255.06 / $1,776.90 / $3,765.18	Facility		$1,255.06	$1,776.90	$3,765.18
United Facility/Professional Facility Modifier Low / Median / High Price $7,468.00 / $7,468.00 / $7,468.00	Facility		$7,468.00	$7,468.00	$7,468.00