Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $18.19 / $18.64	Professional		$17.89	$18.19	$18.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $35.03 / $69.70	Professional		$35.03	$35.03	$69.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $28.01 / $885.11	Facility		$18.19	$28.01	$885.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $47.63 / $283.32	Professional		$28.62	$47.63	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.92 / $32.54 / $45.29	Facility		$23.92	$32.54	$45.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $33.56 / $45.29	Professional		$24.04	$33.56	$45.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $47.10 / $47.10	Professional		$37.21	$47.10	$47.10