Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $52.12 / $52.12	Professional		$51.25	$52.12	$52.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $106.25 / $139.41	Professional		$70.06	$106.25	$139.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.41 / $74.87 / $129.77	Facility		$42.41	$74.87	$129.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $98.72 / $338.50	Professional		$68.50	$98.72	$338.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $82.01 / $119.75	Facility		$48.06	$82.01	$119.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $82.01 / $129.77	Professional		$53.83	$82.01	$129.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $99.70 / $99.70	Professional		$78.76	$99.70	$99.70