Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Facility		$77.91	$77.91	$77.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Professional		$77.91	$77.91	$77.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $97.96 / $124.66	Facility		$77.91	$97.96	$124.66