Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $117.18 / $117.18	Facility		$117.18	$117.18	$117.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $107.62 / $118.39	Professional		$107.62	$107.62	$118.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $190.36 / $198.03	Facility		$145.47	$190.36	$198.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $738.66 / $738.66	Professional		$111.96	$738.66	$738.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $216.14 / $1,562.07	Facility		$145.75	$216.14	$1,562.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $179.04 / $216.14	Professional		$145.75	$179.04	$216.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $231.30 / $231.30 / $231.30	Professional		$231.30	$231.30	$231.30