Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $40.21 / $40.21	Professional		$32.40	$40.21	$40.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $119.97 / $150.00	Professional		$95.51	$119.97	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $67.95 / $112.54	Facility		$48.21	$67.95	$112.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $93.10 / $283.32	Professional		$62.60	$93.10	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $68.43 / $105.18	Facility		$52.41	$68.43	$105.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $72.81 / $107.30	Professional		$54.28	$72.81	$107.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $93.70 / $93.70	Professional		$93.70	$93.70	$93.70