Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $42.25 / $68.50	Facility		$42.25	$42.25	$68.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $84.07 / $84.07	Professional		$84.07	$84.07	$84.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $74.95 / $74.95	Facility		$74.95	$74.95	$74.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $84.07 / $84.07	Professional		$84.07	$84.07	$84.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $69.70 / $72.50	Professional		$59.20	$69.70	$72.50