Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $213.80	Professional		$104.71	$104.71	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $181.97	Facility		$100.00	$131.83	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $138.04	Facility		$128.82	$128.82	$138.04