Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.39 / $176.39 / $176.39	Facility		$176.39	$176.39	$176.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $169.58 / $186.53	Professional		$169.58	$169.58	$186.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.25 / $286.62 / $298.10	Facility		$229.25	$286.62	$298.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $1,116.36 / $1,116.36	Professional		$167.56	$1,116.36	$1,116.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $267.83 / $375.45 / $1,562.07	Facility		$267.83	$375.45	$1,562.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $326.66 / $448.51	Professional		$251.00	$326.66	$448.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $339.60 / $339.60 / $339.60	Professional		$339.60	$339.60	$339.60