Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.89 / $644.89 / $10,500.00	Facility		$644.89	$644.89	$10,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $322.45 / $322.45 / $322.45	Facility	52	$322.45	$322.45	$322.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.97 / $128.97 / $128.97	Facility	53	$128.97	$128.97	$128.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.89 / $791.07 / $1,934.67	Facility		$644.89	$791.07	$1,934.67