Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $257.60	Professional		$47.86	$47.86	$257.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $80.88 / $705.82	Facility		$25.25	$80.88	$705.82
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00