Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $14.90	Facility		$14.90	$14.90	$14.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $14.44 / $14.90	Professional		$14.44	$14.44	$14.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $24.40 / $28.14	Facility		$15.82	$24.40	$28.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $283.32 / $283.32	Professional		$14.03	$283.32	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $25.60 / $33.83	Facility		$21.13	$25.60	$33.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $25.15 / $36.15	Professional		$21.13	$25.15	$36.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $30.10 / $30.10	Professional		$30.10	$30.10	$30.10