Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $161.69 / $347.62	Professional		$128.69	$161.69	$347.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $385.17 / $432.60 / $609.79	Professional		$385.17	$432.60	$609.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $228.82 / $308.25	Facility		$78.12	$228.82	$308.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $292.49 / $1,053.42	Professional		$155.00	$292.49	$1,053.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.60 / $255.71 / $351.61	Facility		$172.60	$255.71	$351.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $231.84 / $395.90	Professional		$155.00	$231.84	$395.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $217.70 / $217.70	Professional		$171.98	$217.70	$217.70