Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $96.10	Facility		$51.12	$51.12	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $51.12 / $51.12	Professional		$49.81	$51.12	$51.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $146.28	Facility		$51.12	$51.12	$146.28
United Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $55.50 / $55.50	Facility		$55.50	$55.50	$55.50