Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $11.32 / $12.09	Professional		$8.75	$11.32	$12.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $33.75 / $34.52	Professional		$32.53	$33.75	$34.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $17.78 / $885.11	Facility		$10.02	$17.78	$885.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $29.17 / $283.32	Professional		$18.44	$29.17	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $19.00 / $29.17	Facility		$13.51	$19.00	$29.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $18.94 / $29.17	Professional		$13.51	$18.94	$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 $19.20 / $24.30 / $24.30	Professional		$19.20	$24.30	$24.30