Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $128.91 / $128.91	Facility		$128.91	$128.91	$128.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $128.91 / $128.91	Professional		$126.05	$128.91	$128.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.25 / $213.02 / $261.20	Facility		$180.25	$213.02	$261.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.68 / $887.69 / $887.69	Professional		$122.68	$887.69	$887.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $259.73 / $748.19	Facility		$196.02	$259.73	$748.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $256.69 / $331.79	Professional		$196.02	$256.69	$331.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $254.00	Professional		$254.00	$254.00	$254.00