Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $173.78	Professional		$134.90	$169.82	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $239.88	Facility		$173.78	$173.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $389.05 / $676.08	Facility		$114.82	$389.05	$676.08