Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.08 / $223.08 / $223.08	Facility		$223.08	$223.08	$223.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $79.59 / $223.08	Professional		$79.59	$79.59	$223.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.91 / $362.45 / $377.01	Facility		$71.91	$362.45	$377.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $1,283.58 / $1,283.58	Professional		$118.21	$1,283.58	$1,283.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $329.35 / $524.67	Facility		$86.00	$329.35	$524.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $152.97 / $355.53	Professional		$93.10	$152.97	$355.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $237.50 / $237.50	Professional		$237.50	$237.50	$237.50