Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $15.24 / $15.90	Professional		$14.26	$15.24	$15.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $91.38 / $113.65	Professional		$30.87	$91.38	$113.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $20.91 / $59.60	Facility		$15.90	$20.91	$59.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $55.57 / $119.84	Professional		$24.26	$55.57	$119.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $31.86 / $39.29	Facility		$23.58	$31.86	$39.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $37.85 / $55.57	Professional		$24.26	$37.85	$55.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.00 / $54.00	Professional		$42.66	$54.00	$54.00