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 / $26.50	Professional		$24.09	$24.09	$26.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $38.95 / $46.69	Facility		$26.43	$38.95	$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 $30.44 / $40.97 / $56.37	Facility		$30.44	$40.97	$56.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $36.26 / $55.73	Professional		$30.44	$36.26	$55.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $52.80	Professional		$52.80	$52.80	$52.80