Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Facility		$48.75	$48.75	$48.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Professional		$48.75	$48.75	$122.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $75.56 / $92.63	Facility		$48.75	$75.56	$92.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $901.00 / $901.00	Professional		$901.00	$901.00	$901.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $273.82 / $273.82 / $273.82	Facility		$273.82	$273.82	$273.82