Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $72.44 / $72.44	Facility		$64.57	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $72.44	Professional		$57.54	$64.57	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $123.03	Facility		$53.70	$102.33	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $616.60	Professional		$69.18	$95.50	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $112.20	Professional		$75.86	$95.50	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86