Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $1,722.00 / $3,965.00	Facility		$1,566.00	$1,722.00	$3,965.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,123.00 / $1,123.00	Facility		$100.00	$1,123.00	$1,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,123.00 / $1,123.00	Facility		$100.00	$1,123.00	$1,123.00