Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $13.17 / $16.35	Professional		$8.10	$13.17	$16.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $60.37 / $66.08	Professional		$58.35	$60.37	$66.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $22.26 / $39.83	Facility		$15.11	$22.26	$39.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $100.58 / $100.58	Professional		$23.34	$100.58	$100.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $24.75 / $58.18	Facility		$21.26	$24.75	$58.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $24.75 / $39.83	Professional		$21.26	$24.75	$39.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $21.80 / $21.80	Professional		$21.80	$21.80	$21.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $29.10 / $29.10	Professional		$22.99	$29.10	$29.10