Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $3,513.00	Facility		$1,760.00	$1,760.00	$3,513.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $177.20 / $284.01	Facility		$105.81	$177.20	$284.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $2,833.00 / $2,833.00	Facility		$2,833.00	$2,833.00	$2,833.00