Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $281.84	Professional		$70.79	$70.79	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $398.11	Professional		$251.19	$309.03	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $117.49	Facility		$58.88	$70.79	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $257.04 / $257.04	Professional		$53.70	$257.04	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $218.78	Professional		$36.31	$70.79	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $218.78	Professional		$58.88	$79.43	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $181.97	Professional		$141.25	$181.97	$181.97