Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $217.21 / $217.21	Professional		$172.89	$217.21	$217.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $440.92 / $506.37	Professional		$150.00	$440.92	$506.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.74 / $244.48 / $531.83	Facility		$133.74	$244.48	$531.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $343.52 / $1,328.36	Professional		$160.93	$343.52	$1,328.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $343.52 / $1,183.28	Facility		$182.85	$343.52	$1,183.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $261.86 / $507.28	Professional		$163.26	$261.86	$507.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Professional		$134.00	$134.00	$134.00