Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.04 / $30.04 / $30.04	Facility		$30.04	$30.04	$30.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $29.09 / $30.04	Professional		$29.09	$29.09	$30.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $49.16 / $58.58	Facility		$32.86	$49.16	$58.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $283.32 / $283.32	Professional		$28.27	$283.32	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $55.28 / $68.02	Facility		$42.69	$55.28	$68.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $55.36 / $84.69	Professional		$42.69	$55.36	$84.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $126.10 / $126.10	Professional		$126.10	$126.10	$126.10