Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.68 / $18.47	Professional		$11.10	$13.68	$18.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $54.01 / $55.23	Professional		$52.05	$54.01	$55.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $25.28 / $885.11	Facility		$15.51	$25.28	$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 $19.28 / $25.60 / $33.83	Facility		$19.28	$25.60	$33.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $26.06 / $38.72	Professional		$19.28	$26.06	$38.72
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 $29.07 / $36.79 / $36.79	Professional		$29.07	$36.79	$36.79