Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $63.88 / $66.43	Professional		$45.52	$63.88	$66.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $95.19 / $118.39	Professional		$49.96	$95.19	$118.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $62.16 / $109.61	Facility		$22.83	$62.16	$109.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $129.33 / $382.72	Professional		$40.45	$129.33	$382.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $74.67 / $109.92	Facility		$34.04	$74.67	$109.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $52.01 / $129.33	Professional		$32.11	$52.01	$129.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.30 / $16.30	Professional		$12.88	$16.30	$16.30