Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $77.62	Professional		$19.05	$22.91	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.62 / $50.12	Facility		$19.50	$31.62	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $158.49 / $158.49	Professional		$22.91	$158.49	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $57.54	Professional		$35.48	$46.77	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $66.07	Professional		$44.67	$53.70	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57