Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $254.94	Facility		$254.94	$254.94	$254.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $254.94 / $254.94	Professional		$254.94	$254.94	$254.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $349.27	Facility		$254.94	$254.94	$349.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64