Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $69.18	Facility		$42.66	$42.66	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $72.44	Professional		$58.88	$69.18	$72.44