Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $50.12	Professional		$10.00	$10.00	$50.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $251.19	Facility		$89.13	$89.13	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98