Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $22.36 / $25.74	Professional		$18.48	$22.36	$25.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $75.95 / $77.68	Professional		$73.20	$75.95	$77.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $38.45 / $885.11	Facility		$22.54	$38.45	$885.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $56.37 / $283.32	Professional		$35.42	$56.37	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $39.00 / $56.37	Facility		$29.88	$39.00	$56.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $39.33 / $56.37	Professional		$29.88	$39.33	$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 $41.71 / $52.80 / $52.80	Professional		$41.71	$52.80	$52.80