Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.61 / $299.61 / $299.61	Facility		$299.61	$299.61	$299.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $203.13 / $299.61	Professional		$184.66	$203.13	$299.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.97 / $486.80 / $506.34	Facility		$248.97	$486.80	$506.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $1,750.16 / $1,750.16	Professional		$275.79	$1,750.16	$1,750.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $232.93 / $474.40 / $704.47	Facility		$232.93	$474.40	$704.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $357.16 / $512.11	Professional		$275.79	$357.16	$512.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $582.00 / $582.00 / $582.00	Professional		$582.00	$582.00	$582.00