Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.91 / $8.91	Facility		$5.01	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.91 / $30.90	Professional		$5.01	$8.91	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.49 / $891.25	Facility		$10.00	$15.49	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30