Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $4,955.00 / $4,955.00	Facility		$1,100.00	$4,955.00	$4,955.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $500.00 / $1,391.00	Facility		$358.00	$500.00	$1,391.00
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $500.00 / $1,149.00	Facility		$358.00	$500.00	$1,149.00