Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.23 / $293.23 / $293.23	Facility		$293.23	$293.23	$293.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $250.69 / $293.23	Professional		$250.69	$250.69	$293.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.23 / $476.39 / $495.56	Facility		$338.23	$476.39	$495.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.75 / $1,813.11 / $1,813.11	Professional		$278.75	$1,813.11	$1,813.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $357.91 / $530.52 / $1,562.07	Facility		$357.91	$530.52	$1,562.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.24 / $445.41 / $530.52	Professional		$363.24	$445.41	$530.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $463.00 / $463.00	Professional		$463.00	$463.00	$463.00