Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $45.93 / $57.94	Professional		$37.20	$45.93	$57.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.08 / $176.08 / $196.19	Professional		$176.08	$176.08	$196.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $80.84 / $256.32	Facility		$48.75	$80.84	$256.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $113.49 / $314.82	Professional		$71.33	$113.49	$314.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $83.06 / $113.49	Facility		$60.55	$83.06	$113.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $83.06 / $124.27	Professional		$60.55	$83.06	$124.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $65.50 / $65.50	Professional		$65.50	$65.50	$65.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $118.60 / $118.60	Professional		$93.69	$118.60	$118.60