Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.78 / $39.78 / $39.78	Facility		$39.78	$39.78	$39.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $53.50 / $58.85	Professional		$38.86	$53.50	$58.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $63.68 / $77.73	Facility		$45.22	$63.68	$77.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $262.88 / $262.88	Professional		$37.45	$262.88	$262.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $74.91 / $90.17	Facility		$56.78	$74.91	$90.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $75.33 / $115.65	Professional		$56.78	$75.33	$115.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69