Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.99 / $515.99 / $10,000.00	Facility		$515.99	$515.99	$10,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $258.00 / $258.00 / $258.00	Facility	52	$258.00	$258.00	$258.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $103.20 / $103.20 / $103.20	Facility	53	$103.20	$103.20	$103.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.99 / $699.54 / $6,615.85	Facility		$515.99	$699.54	$6,615.85