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 / $304.11	Professional		$104.22	$104.22	$304.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $149.97 / $434.64	Facility		$104.22	$149.97	$434.64