Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $24.88 / $24.88	Facility		$24.88	$24.88	$24.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $24.88	Professional		$24.09	$24.09	$24.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $38.54 / $46.69	Facility		$24.09	$38.54	$46.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $283.32 / $283.32	Professional		$23.41	$283.32	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $39.25 / $56.37	Facility		$29.88	$39.25	$56.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $30.73 / $42.37	Professional		$25.79	$30.73	$42.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $25.30 / $25.30	Professional		$25.30	$25.30	$25.30