Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Facility		$32.90	$32.90	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $32.90 / $32.90	Professional		$31.90	$32.90	$32.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $53.47 / $55.62	Facility		$42.68	$53.47	$55.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $209.82 / $209.82	Professional		$31.32	$209.82	$209.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $56.89 / $77.43	Facility		$39.61	$56.89	$77.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $49.98 / $61.41	Professional		$41.38	$49.98	$61.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Professional		$60.80	$60.80	$60.80