Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Facility		$64.80	$64.80	$64.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $64.80	Professional		$57.50	$57.50	$64.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $105.27 / $109.51	Facility		$77.59	$105.27	$109.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $402.94 / $402.94	Professional		$61.34	$402.94	$402.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $117.90 / $1,562.07	Facility		$93.00	$117.90	$1,562.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $109.21 / $129.46	Professional		$85.00	$109.21	$129.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $130.10	Professional		$130.10	$130.10	$130.10