Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $65.04 / $65.04	Facility		$65.04	$65.04	$65.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $65.04 / $73.34	Professional		$65.04	$65.04	$73.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $65.04 / $195.12	Facility		$40.17	$65.04	$195.12