Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Facility		$104.22	$104.22	$104.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Professional		$104.22	$104.22	$104.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $119.85 / $166.75	Facility		$104.22	$119.85	$166.75