Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $107.62 / $107.62	Facility		$107.62	$107.62	$107.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $105.52 / $115.57	Professional		$100.29	$105.52	$115.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.71 / $174.80 / $181.88	Facility		$138.71	$174.80	$181.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $677.88 / $677.88	Professional		$102.53	$677.88	$677.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $183.73 / $253.66	Facility		$126.29	$183.73	$253.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $164.00 / $198.34	Professional		$134.19	$164.00	$198.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $226.40 / $226.40 / $226.40	Professional		$226.40	$226.40	$226.40