Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.07 / $164.66 / $164.66	Professional		$161.07	$164.66	$164.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.23 / $267.52 / $278.27	Facility		$179.23	$267.52	$278.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $1,009.33 / $1,009.33	Professional		$156.71	$1,009.33	$1,009.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.38 / $273.61 / $387.61	Facility		$167.38	$273.61	$387.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $250.37 / $295.36	Professional		$197.86	$250.37	$295.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $285.20	Professional		$285.20	$285.20	$285.20