Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $332.03 / $332.03	Facility		$80.06	$332.03	$332.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $80.06	Professional		$80.06	$80.06	$80.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $85.66 / $119.44	Facility		$80.06	$85.66	$119.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $175.50 / $175.50	Professional		$175.50	$175.50	$175.50
United Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $117.84 / $126.21	Facility		$117.84	$117.84	$126.21