Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.95	Professional		$10.96	$14.13	$19.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.91 / $28.84	Facility		$15.85	$22.91	$28.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $281.84	Professional		$14.13	$25.12	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $33.88	Professional		$21.38	$25.12	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20