Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.73 / $187.43 / $235.17	Facility		$105.73	$187.43	$235.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $187.43 / $187.43	Professional		$187.43	$187.43	$187.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $82.24 / $2,489.36	Facility		$39.65	$82.24	$2,489.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $95.01 / $372.64	Professional		$63.16	$95.01	$372.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $84.97 / $114.64	Facility		$39.65	$84.97	$114.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $84.97 / $114.64	Professional		$39.65	$84.97	$114.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
United Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $83.26 / $162.62	Professional		$62.44	$83.26	$162.62