Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $22.08 / $23.13	Professional		$17.63	$22.08	$23.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $67.97 / $74.55	Professional		$66.91	$67.97	$74.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $33.00 / $885.11	Facility		$18.51	$33.00	$885.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $47.22 / $283.32	Professional		$30.39	$47.22	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $35.42 / $56.37	Facility		$25.79	$35.42	$56.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $35.42 / $56.37	Professional		$25.79	$35.42	$56.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $32.50 / $32.50	Professional		$32.50	$32.50	$32.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $25.30 / $25.30	Professional		$19.98	$25.30	$25.30