Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $58.36 / $58.36	Facility		$58.36	$58.36	$58.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $56.26 / $58.36	Professional		$26.70	$56.26	$58.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $88.08 / $123.81	Facility		$58.54	$88.08	$123.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $338.50 / $338.50	Professional		$54.67	$338.50	$338.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.83 / $88.75 / $129.77	Facility		$53.83	$88.75	$129.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $82.01 / $95.80	Professional		$64.23	$82.01	$95.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $99.70 / $99.70	Professional		$99.70	$99.70	$99.70