Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $102.79	Professional		$80.00	$80.00	$102.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.79 / $249.72 / $590.54	Facility		$135.79	$249.72	$590.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.21 / $252.21 / $252.21	Professional		$252.21	$252.21	$252.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $171.36 / $171.36	Professional		$171.36	$171.36	$171.36