Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $87.57	Facility		$87.57	$87.57	$87.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $755.47	Professional		$87.57	$87.57	$755.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $141.43 / $175.14	Facility		$87.57	$141.43	$175.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $614.00 / $614.00	Professional		$614.00	$614.00	$614.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $396.91 / $396.91 / $396.91	Professional		$396.91	$396.91	$396.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $328.50 / $328.50 / $328.50	Professional		$328.50	$328.50	$328.50