Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $3,885.00 / $4,980.00	Facility		$3,885.00	$3,885.00	$4,980.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $1,227.00 / $1,740.00	Facility		$616.00	$1,227.00	$1,740.00
United Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $1,227.00 / $1,709.00	Facility		$616.00	$1,227.00	$1,709.00