Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.45 / $1,141.45 / $8,500.00	Facility		$1,141.45	$1,141.45	$8,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,141.45 / $1,621.92 / $3,424.35	Facility		$1,141.45	$1,621.92	$3,424.35