Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $145.00 / $145.00	Facility		$145.00	$145.00	$145.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $145.00 / $145.00	Professional		$123.25	$145.00	$145.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.62 / $203.39 / $245.05	Facility		$186.62	$203.39	$245.05