Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $52.02 / $100.00	Facility		$50.00	$52.02	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $139.60 / $139.60	Professional		$139.60	$139.60	$139.60