Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $134.21 / $134.21	Professional		$134.21	$134.21	$134.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $134.21 / $134.21	Professional		$134.21	$134.21	$134.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $101.02 / $101.02	Professional		$101.02	$101.02	$101.02