Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $134.94 / $134.94	Facility		$134.94	$134.94	$134.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $132.29 / $140.32	Professional		$127.56	$132.29	$140.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $219.26 / $228.05	Facility		$171.96	$219.26	$228.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.43 / $850.03 / $850.03	Professional		$128.43	$850.03	$850.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $205.25 / $248.69 / $1,562.07	Facility		$205.25	$248.69	$1,562.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $245.97 / $297.70	Professional		$189.00	$245.97	$297.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $271.39 / $271.39	Professional		$271.39	$271.39	$271.39