Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $97.72 / $169.82	Facility		$89.13	$97.72	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $97.72	Professional		$89.13	$89.13	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $158.49	Facility		$91.20	$97.72	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23