Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,338.00 / $4,338.00 / $4,338.00	Facility		$4,338.00	$4,338.00	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $152.97 / $152.97	Professional		$152.97	$152.97	$152.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00