Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $144.54	Facility		$114.82	$114.82	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $144.54	Professional		$114.82	$120.23	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $131.83 / $204.17	Facility		$114.82	$131.83	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23