Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Facility		$132.88	$132.88	$132.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $182.98	Professional		$132.88	$132.88	$182.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.02 / $390.04 / $922.37	Facility		$190.02	$390.04	$922.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $349.49 / $349.49 / $349.49	Professional		$349.49	$349.49	$349.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $53.43 / $53.43	Professional		$53.43	$53.43	$53.43