Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Facility		$1,557.09	$1,557.09	$1,557.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $21,537.01	Professional		$1,557.09	$1,557.09	$21,537.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,124.33 / $36,397.55 / $59,011.41	Facility		$5,124.33	$36,397.55	$59,011.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $780.65 / $780.65 / $780.65	Professional		$780.65	$780.65	$780.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $780.65 / $780.65 / $780.65	Professional		$780.65	$780.65	$780.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Professional		$650.00	$650.00	$650.00