Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $275.42 / $275.42	Facility		$28.84	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $275.42 / $724.44	Professional		$16.98	$275.42	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.84 / $389.05	Facility		$24.55	$28.84	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82