Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $83.18	Professional		$52.48	$67.61	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $323.59	Professional		$194.98	$213.80	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $91.20 / $173.78	Facility		$39.81	$91.20	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $616.60	Professional		$64.57	$120.23	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $173.78	Professional		$89.13	$112.20	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $186.21	Professional		$67.61	$89.13	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86