Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $3,200.00	Facility		$1,900.00	$1,900.00	$3,200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,227.00 / $5,000.00	Facility		$1,227.00	$1,227.00	$5,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $575.00 / $5,000.00	Facility		$382.00	$575.00	$5,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,227.00 / $1,227.00	Facility		$1,227.00	$1,227.00	$1,227.00