Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.38 / $267.38 / $267.38	Facility		$267.38	$267.38	$267.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $267.38 / $267.38	Professional		$261.80	$267.38	$267.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.29 / $434.43 / $451.87	Facility		$356.29	$434.43	$451.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $1,712.50 / $1,712.50	Professional		$254.15	$1,712.50	$1,712.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.31 / $464.16 / $628.60	Facility		$338.31	$464.16	$628.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.56 / $406.11 / $520.69	Professional		$339.56	$406.11	$520.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $705.00 / $705.00	Professional		$705.00	$705.00	$705.00