Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.60 / $271.60 / $271.60	Facility		$271.60	$271.60	$271.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.92 / $271.60 / $271.60	Professional		$265.92	$271.60	$271.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $370.12 / $441.24 / $459.00	Facility		$370.12	$441.24	$459.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.27 / $1,733.46 / $1,733.46	Professional		$258.27	$1,733.46	$1,733.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $339.56 / $469.86 / $638.87	Facility		$339.56	$469.86	$638.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $412.91 / $520.69	Professional		$342.00	$412.91	$520.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $578.00 / $578.00	Professional		$578.00	$578.00	$578.00