Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $134.90 / $134.90	Facility		$128.82	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $141.25	Professional		$107.15	$128.82	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $199.53 / $331.13	Facility		$147.91	$199.53	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $295.12 / $851.14	Professional		$128.82	$295.12	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $295.12	Professional		$204.17	$234.42	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15