Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $104.69	Facility		$104.69	$104.69	$104.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $104.69 / $104.69	Professional		$104.69	$104.69	$104.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $130.86	Facility		$104.69	$104.69	$130.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $270.97 / $270.97	Professional		$270.97	$270.97	$270.97