Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $17.04 / $17.04	Facility		$17.04	$17.04	$17.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $17.04 / $17.04	Professional		$15.90	$17.04	$17.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $28.00 / $45.40	Facility		$15.90	$28.00	$45.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $119.84 / $119.84	Professional		$15.77	$119.84	$119.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $34.39 / $39.29	Facility		$23.58	$34.39	$39.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $37.85 / $48.85	Professional		$24.26	$37.85	$48.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00