Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,338.00 / $4,338.00 / $4,338.00	Facility		$4,338.00	$4,338.00	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $65.80 / $65.80	Professional		$65.80	$65.80	$65.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.55 / $111.20 / $180.29	Facility		$62.55	$111.20	$180.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $138.90 / $442.39	Professional		$82.77	$138.90	$442.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.66 / $161.82 / $177.95	Facility		$116.66	$161.82	$177.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.61 / $161.82 / $264.22	Professional		$126.61	$161.82	$264.22
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $131.85 / $153.83	Professional		$84.40	$131.85	$153.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $222.20 / $231.00	Professional		$188.80	$222.20	$231.00