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 / $33.88	Professional		$19.05	$22.91	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $32.36 / $57.54	Facility		$19.50	$32.36	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $165.96 / $165.96	Professional		$22.91	$165.96	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $57.54	Professional		$35.48	$53.70	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $75.86	Professional		$51.29	$56.23	$75.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23