Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $2,550.00	Professional		$1,751.72	$1,751.72	$2,550.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,309.50 / $4,309.50 / $6,987.00	Facility		$4,309.50	$4,309.50	$6,987.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,685.41 / $2,685.41 / $2,685.41	Professional		$2,685.41	$2,685.41	$2,685.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,685.41 / $2,685.41 / $2,685.41	Professional		$2,685.41	$2,685.41	$2,685.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,236.00 / $2,236.00 / $2,236.00	Professional		$2,236.00	$2,236.00	$2,236.00