Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $79.23 / $79.23	Facility		$79.23	$79.23	$79.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $76.62 / $76.62	Professional		$76.62	$76.62	$76.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $76.62 / $76.62	Professional		$76.62	$76.62	$76.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $63.80 / $63.80	Professional		$50.40	$63.80	$63.80