Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.64 / $204.64 / $204.64	Facility		$204.64	$204.64	$204.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.71 / $204.64 / $204.64	Professional		$196.71	$204.64	$204.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.80 / $274.12 / $400.66	Facility		$206.80	$274.12	$400.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.87 / $1,274.00 / $1,274.00	Professional		$194.87	$1,274.00	$1,274.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.40 / $372.72 / $2,097.63	Facility		$251.40	$372.72	$2,097.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $269.25 / $520.92	Professional		$226.00	$269.25	$520.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $458.00 / $458.00	Professional		$458.00	$458.00	$458.00