Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $57.54	Professional		$19.95	$23.99	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $109.65	Professional		$89.13	$102.33	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $57.54	Facility		$19.50	$27.54	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $158.49 / $158.49	Professional		$42.66	$158.49	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $77.62	Professional		$33.11	$46.77	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $72.44	Professional		$48.98	$60.26	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.90	Professional		$25.70	$25.70	$30.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57