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 $18.20 / $22.91 / $37.15	Professional		$18.20	$22.91	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $125.89	Professional		$102.33	$114.82	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $60.26	Facility		$19.50	$30.20	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $165.96 / $165.96	Professional		$45.71	$165.96	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $144.54	Professional		$33.88	$53.70	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $83.18	Professional		$51.29	$67.61	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23