Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $123.93 / $123.93	Professional		$98.64	$123.93	$123.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $521.09 / $598.42	Professional		$150.00	$521.09	$598.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.02 / $259.73 / $711.69	Facility		$158.02	$259.73	$711.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $303.42 / $887.69	Professional		$196.02	$303.42	$887.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $175.15 / $303.42 / $748.19	Facility		$175.15	$303.42	$748.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $259.73 / $326.61	Professional		$175.15	$259.73	$326.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $254.00	Professional		$254.00	$254.00	$254.00