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 / $53.03	Professional		$47.06	$47.06	$53.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $89.62 / $176.72	Facility		$67.30	$89.62	$176.72