Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.02 / $12.02	Facility		$10.00	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $35.48	Professional		$8.91	$12.02	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $23.44	Facility		$12.02	$17.38	$23.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $75.86	Professional		$12.02	$16.22	$75.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.62 / $28.84	Professional		$16.22	$18.62	$28.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55