Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $71.25 / $71.25	Facility		$71.25	$71.25	$71.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $71.25 / $71.25	Professional		$66.43	$71.25	$71.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $69.26 / $120.41	Facility		$33.86	$69.26	$120.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $382.72 / $382.72	Professional		$40.45	$382.72	$382.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $101.83 / $164.20	Facility		$49.00	$101.83	$164.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $50.95 / $103.35	Professional		$30.40	$50.95	$103.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Professional		$16.30	$16.30	$16.30