Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $331.13	Facility		$34.67	$302.00	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $478.63	Professional		$34.67	$50.12	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $3,715.35	Facility		$85.11	$85.11	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $1,348.96	Professional		$50.12	$64.57	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $89.13	Professional		$44.67	$60.26	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $489.78	Professional		$302.00	$380.19	$489.78