Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $5,389.00 / $9,823.00	Facility		$1,760.00	$5,389.00	$9,823.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,033.31 / $1,560.55 / $4,229.00	Facility		$1,033.31	$1,560.55	$4,229.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $194.78 / $194.78 / $490.02	Facility	AS	$194.78	$194.78	$490.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,708.00 / $3,502.00 / $6,944.00	Facility		$1,708.00	$3,502.00	$6,944.00