Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.76 / $58.76 / $58.76	Facility		$58.76	$58.76	$58.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $58.76 / $58.76	Professional		$57.67	$58.76	$58.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $95.43 / $99.30	Facility		$58.38	$95.43	$99.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $352.42 / $352.42	Professional		$55.60	$352.42	$352.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $106.96 / $1,562.07	Facility		$70.00	$106.96	$1,562.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $88.79 / $127.77	Professional		$72.62	$88.79	$127.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80