Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $273.45 / $273.45	Facility		$273.45	$273.45	$273.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $237.60 / $273.45	Professional		$17.00	$237.60	$273.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $28.73 / $58.82	Facility		$24.31	$28.73	$58.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $270.23 / $270.23 / $270.23	Professional		$270.23	$270.23	$270.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $171.36 / $171.36	Professional		$171.36	$171.36	$171.36