Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $371.54 / $457.09	Facility		$131.83	$371.54	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $371.54	Professional		$131.83	$181.97	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $309.03 / $912.01	Facility		$190.55	$309.03	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70