Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $196.71 / $406.91	Professional		$156.59	$196.71	$406.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $507.19 / $714.93	Professional		$451.58	$507.19	$714.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.37 / $290.64 / $753.60	Facility		$145.37	$290.64	$753.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $372.72 / $1,274.00	Professional		$247.00	$372.72	$1,274.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.40 / $372.72 / $1,562.07	Facility		$251.40	$372.72	$1,562.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $226.31 / $274.60 / $482.01	Professional		$226.31	$274.60	$482.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.82 / $458.00 / $458.00	Professional		$361.82	$458.00	$458.00