Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $85.50	Facility		$85.50	$85.50	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $85.50 / $634.00	Professional		$85.50	$85.50	$634.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $189.81	Facility		$85.50	$85.50	$189.81