Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $26.92	Professional		$15.85	$19.05	$26.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $77.62	Professional		$63.10	$70.79	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.89 / $51.29	Facility		$15.49	$20.89	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $194.98 / $194.98	Professional		$30.90	$194.98	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $58.88	Professional		$27.54	$33.11	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $57.54	Professional		$30.90	$41.69	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98