Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.04 / $308.04 / $308.04	Facility		$308.04	$308.04	$308.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $308.04 / $308.04	Professional		$301.27	$308.04	$308.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.50 / $500.43 / $520.59	Facility		$391.50	$500.43	$520.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $1,905.62 / $1,905.62	Professional		$292.95	$1,905.62	$1,905.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $332.67 / $516.49 / $724.59	Facility		$332.67	$516.49	$724.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $381.17 / $468.21 / $557.53	Professional		$381.17	$468.21	$557.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $711.00 / $711.00	Professional		$711.00	$711.00	$711.00