Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $45.71	Professional		$34.67	$42.66	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $120.23	Facility		$51.29	$74.13	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $302.00	Professional		$41.69	$83.18	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $102.33	Professional		$67.61	$83.18	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03