Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.38 / $150.38 / $150.38	Facility		$150.38	$150.38	$150.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $150.38 / $262.99	Professional		$146.16	$150.38	$262.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.87 / $254.16 / $386.42	Facility		$236.87	$254.16	$386.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.04 / $1,307.34 / $1,307.34	Professional		$142.04	$1,307.34	$1,307.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.03 / $297.18 / $395.00	Facility		$204.03	$297.18	$395.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $323.31 / $472.67	Professional		$217.86	$323.31	$472.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00