Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $117.18 / $117.18	Facility		$117.18	$117.18	$117.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $101.40 / $117.18	Professional		$101.40	$101.40	$117.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.63 / $190.36 / $198.03	Facility		$137.63	$190.36	$198.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $728.46 / $728.46	Professional		$111.96	$728.46	$728.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $245.97 / $1,367.00	Facility		$165.00	$245.97	$1,367.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $197.28 / $293.83	Professional		$151.00	$197.28	$293.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $223.60 / $223.60	Professional		$223.60	$223.60	$223.60