Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $269.15	Facility		$263.03	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $269.15	Professional		$208.93	$245.47	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $724.44	Facility		$295.12	$407.38	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $1,698.24	Professional		$257.04	$398.11	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $489.78	Professional		$398.11	$398.11	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95