Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $28.37 / $29.09	Professional		$27.90	$28.37	$29.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $77.08 / $153.36	Professional		$77.08	$77.08	$153.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $43.69 / $162.84	Facility		$28.37	$43.69	$162.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $100.17 / $221.34	Professional		$44.64	$100.17	$221.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $57.44 / $77.00	Facility		$37.29	$57.44	$77.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $70.22 / $90.02	Professional		$44.64	$70.22	$90.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $95.40 / $95.40	Professional		$75.37	$95.40	$95.40