Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $208.93	Professional		$79.43	$79.43	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $588.84	Facility		$134.90	$173.78	$588.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82