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 $21.35 / $25.72 / $33.83	Facility		$21.35	$25.72	$33.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $25.72 / $39.51	Professional		$21.35	$25.72	$39.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $36.79 / $36.79	Professional		$36.79	$36.79	$36.79