Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $22.53 / $22.53	Facility		$22.53	$22.53	$22.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $21.89 / $22.53	Professional		$16.92	$21.89	$22.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $36.99 / $43.78	Facility		$21.89	$36.99	$43.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $120.20 / $120.20	Professional		$120.20	$120.20	$120.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $27.39 / $50.88	Facility		$22.18	$27.39	$50.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $32.03 / $63.78	Professional		$23.96	$32.03	$63.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $53.10 / $53.10	Professional		$53.10	$53.10	$53.10