Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.30 / $44.30 / $44.30	Facility		$44.30	$44.30	$44.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $44.30 / $44.30	Professional		$43.39	$44.30	$44.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $73.33 / $84.39	Facility		$62.05	$73.33	$84.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $300.23 / $300.23	Professional		$42.16	$300.23	$300.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $82.72 / $104.31	Facility		$59.25	$82.72	$104.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $82.72 / $107.13	Professional		$67.44	$82.72	$107.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Professional		$123.50	$123.50	$123.50