Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $27.53 / $38.70	Professional		$22.31	$27.53	$38.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $114.77 / $117.38	Professional		$110.62	$114.77	$117.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $55.23 / $156.57	Facility		$32.86	$55.23	$156.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $68.04 / $283.32	Professional		$42.69	$68.04	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $51.20 / $68.38	Facility		$40.86	$51.20	$68.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $55.63 / $82.24	Professional		$40.86	$55.63	$82.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $39.20	Professional		$39.20	$39.20	$39.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $126.10 / $126.10	Professional		$99.62	$126.10	$126.10