Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $48.52 / $50.10	Professional		$48.52	$48.52	$50.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $82.00 / $94.01	Facility		$53.20	$82.00	$94.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $314.82 / $314.82	Professional		$47.15	$314.82	$314.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $83.06 / $113.49	Facility		$67.81	$83.06	$113.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $80.86 / $124.27	Professional		$67.81	$80.86	$124.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $118.60 / $118.60	Professional		$118.60	$118.60	$118.60