Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $111.04	Facility		$111.04	$111.04	$111.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $111.04 / $360.00	Professional		$111.04	$111.04	$360.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $127.70	Facility		$111.04	$111.04	$127.70