Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $155.10 / $155.10	Facility		$155.10	$155.10	$155.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $155.10 / $155.10	Professional		$152.03	$155.10	$155.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.67 / $251.98 / $262.12	Facility		$124.67	$251.98	$262.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $902.23 / $902.23	Professional		$138.47	$902.23	$902.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $264.04 / $1,367.00	Facility		$138.47	$264.04	$1,367.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $177.78 / $264.04	Professional		$138.47	$177.78	$264.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $143.30 / $143.30	Professional		$143.30	$143.30	$143.30