Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $45.71	Facility		$25.70	$25.70	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $125.89	Professional		$83.18	$125.89	$125.89