Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $144.54	Professional		$14.13	$14.13	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $208.93 / $398.11	Facility		$21.38	$208.93	$398.11