Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Professional		$171.96	$171.96	$171.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $182.28 / $256.55	Facility		$171.96	$182.28	$256.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $491.40 / $491.40	Professional		$491.40	$491.40	$491.40