Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $575.28 / $575.28	Facility		$575.28	$575.28	$575.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.24 / $575.28 / $575.28	Professional		$566.24	$575.28	$575.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $809.72 / $972.22 / $1,551.50	Facility		$809.72	$972.22	$1,551.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Professional		$1,050.00	$1,050.00	$1,050.00