Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.34 / $73.34 / $73.34	Facility		$73.34	$73.34	$73.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $73.34 / $73.34	Professional		$71.83	$73.34	$73.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $119.15 / $123.94	Facility		$53.27	$119.15	$123.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $621.45 / $621.45	Professional		$69.80	$621.45	$621.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $123.43 / $172.64	Facility		$64.00	$123.43	$172.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $94.55 / $133.26	Professional		$69.83	$94.55	$133.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00