Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Facility		$47.06	$47.06	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Professional		$47.06	$47.06	$47.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $94.12	Facility		$47.06	$47.06	$94.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $268.66	Professional		$105.00	$105.00	$268.66