Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $385.00 / $385.00	Facility		$35.00	$385.00	$385.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $420.00	Professional		$35.00	$50.00	$420.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $84.50 / $3,700.00	Facility		$84.50	$84.50	$3,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $110.00	Professional		$50.00	$65.00	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.27 / $90.00	Professional		$50.00	$60.27	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.90 / $448.00 / $465.50	Professional		$354.90	$448.00	$465.50