Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.00 / $1,563.00 / $1,563.00	Professional		$1,563.00	$1,563.00	$1,563.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,563.00 / $2,641.47 / $4,282.62	Facility		$1,563.00	$2,641.47	$4,282.62