Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,981.07	Professional		$1,621.81	$1,621.81	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,981.07	Facility		$1,621.81	$1,621.81	$3,981.07