Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.32 / $1,723.80 / $2,003.55	Facility		$724.32	$1,723.80	$2,003.55
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,334.57 / $1,844.64 / $2,292.30	Facility	25	$1,334.57	$1,844.64	$2,292.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.13 / $410.78 / $607.50	Professional	25	$162.13	$410.78	$607.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.34 / $211.06 / $291.83	Facility		$160.34	$211.06	$291.83
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $270.32 / $330.40 / $520.39	Professional	25	$270.32	$330.40	$520.39