Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.68 / $17.64	Professional		$11.10	$13.68	$17.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.45 / $60.82	Professional		$54.58	$55.45	$60.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $24.00 / $885.11	Facility		$13.99	$24.00	$885.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $33.83 / $283.32	Professional		$21.35	$33.83	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $25.15 / $33.83	Facility		$18.86	$25.15	$33.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $25.49 / $36.15	Professional		$18.86	$25.49	$36.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.60 / $19.60	Professional		$19.60	$19.60	$19.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $30.10 / $30.10	Professional		$23.78	$30.10	$30.10