Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $112.40	Facility		$40.00	$40.00	$112.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $1,009.05 / $1,009.05	Professional		$40.00	$1,009.05	$1,009.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.05 / $1,009.05 / $1,009.05	Professional		$1,009.05	$1,009.05	$1,009.05