Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.99 / $351.99 / $351.99	Facility		$351.99	$351.99	$351.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.99 / $351.99 / $632.99	Professional		$343.99	$351.99	$632.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.90 / $594.86 / $1,424.76	Facility		$571.90	$594.86	$1,424.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.12 / $3,763.97 / $3,763.97	Professional		$335.12	$3,763.97	$3,763.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $526.10 / $779.83 / $1,184.00	Facility		$526.10	$779.83	$1,184.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $886.33 / $1,224.92	Professional		$535.66	$886.33	$1,224.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $738.00 / $738.00 / $738.00	Professional		$738.00	$738.00	$738.00