Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $112.73	Facility		$112.73	$112.73	$112.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $112.73 / $153.60	Facility		$87.45	$112.73	$153.60