Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $11.12 / $12.91	Professional		$9.26	$11.12	$12.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $35.77 / $39.22	Professional		$35.21	$35.77	$39.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $17.78 / $75.00	Facility		$10.02	$17.78	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $29.17 / $75.13	Professional		$18.00	$29.17	$75.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $18.44 / $29.17	Facility		$13.51	$18.44	$29.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $18.44 / $29.17	Professional		$13.51	$18.44	$29.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $16.89	Professional		$16.89	$16.89	$16.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $24.60 / $24.60	Professional		$19.43	$24.60	$24.60