Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.95 / $84.95	Professional		$84.19	$84.95	$84.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $143.57 / $211.59	Facility		$84.95	$143.57	$211.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $154.91 / $345.32	Professional		$154.91	$154.91	$345.32
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00