Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $208.61	Facility		$104.83	$104.83	$208.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Professional		$104.83	$104.83	$104.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $128.07 / $3,450.15	Facility		$94.35	$128.07	$3,450.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41