Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.35 / $211.35 / $1,656.26	Facility		$211.35	$211.35	$1,656.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $199.40 / $891.68	Professional		$199.40	$199.40	$891.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.48 / $343.37 / $357.18	Facility		$268.48	$343.37	$357.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $1,334.79 / $1,334.79	Professional		$200.94	$1,334.79	$1,334.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $321.00 / $390.54 / $1,562.07	Facility		$321.00	$390.54	$1,562.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $376.53 / $454.43	Professional		$294.00	$376.53	$454.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $420.00	Professional		$420.00	$420.00	$420.00