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 $134.90 / $171.96 / $171.96	Professional		$134.90	$171.96	$171.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $211.51	Facility		$171.96	$171.96	$211.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $491.40 / $491.40	Professional		$491.40	$491.40	$491.40