Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.18 / $28,632.51 / $52,817.04	Facility		$1,630.18	$28,632.51	$52,817.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.18 / $1,630.18 / $1,630.18	Professional		$1,630.18	$1,630.18	$1,630.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,630.18 / $1,630.18 / $19,159.50	Facility		$1,630.18	$1,630.18	$19,159.50