Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $70.50 / $70.50	Professional		$56.11	$70.50	$70.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $199.53 / $322.67	Professional		$150.00	$199.53	$322.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $90.90 / $172.64	Facility		$40.17	$90.90	$172.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $123.43 / $621.45	Professional		$66.90	$123.43	$621.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $94.55 / $145.30	Facility		$71.04	$94.55	$145.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $95.79 / $172.64	Professional		$66.90	$95.79	$172.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00