Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $41.69	Professional		$15.85	$19.95	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $24.55 / $41.69	Facility		$14.79	$24.55	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $194.98 / $194.98	Professional		$20.89	$194.98	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $51.29	Professional		$32.36	$33.11	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $45.71	Professional		$31.62	$34.67	$45.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98