Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.51 / $208.51 / $208.51	Facility		$208.51	$208.51	$208.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.51 / $247.40 / $247.40	Professional		$208.51	$247.40	$247.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $208.51 / $258.39	Facility		$90.00	$208.51	$258.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.34 / $428.34 / $428.34	Professional		$428.34	$428.34	$428.34