Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,162.28	Professional		$1,737.80	$1,737.80	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,019.95	Facility		$1,737.80	$1,737.80	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56