Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.20 / $168.20 / $168.20	Facility		$168.20	$168.20	$168.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $168.20 / $168.20	Professional		$161.69	$168.20	$168.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.29 / $233.35 / $284.26	Facility		$103.29	$233.35	$284.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $1,053.42 / $1,053.42	Professional		$160.07	$1,053.42	$1,053.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $255.71 / $395.90	Facility		$193.31	$255.71	$395.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $228.82 / $308.25	Professional		$161.78	$228.82	$308.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $217.70 / $217.70	Professional		$217.70	$217.70	$217.70