Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.23 / $209.23 / $209.23	Facility		$209.23	$209.23	$209.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.66 / $202.66 / $209.23	Professional		$202.66	$202.66	$209.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.06 / $342.50 / $393.23	Facility		$222.06	$342.50	$393.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.26 / $1,066.36 / $1,066.36	Professional		$197.26	$1,066.36	$1,066.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.14 / $281.83 / $474.94	Facility		$251.14	$281.83	$474.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $298.88 / $417.10	Professional		$261.08	$298.88	$417.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $319.70 / $319.70	Professional		$319.70	$319.70	$319.70