Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $188.34 / $224.00	Professional		$137.05	$188.34	$224.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $347.94 / $355.36 / $386.39	Professional		$347.94	$355.36	$386.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.83 / $380.18 / $1,075.93	Facility		$214.83	$380.18	$1,075.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $526.80 / $1,066.36	Professional		$281.83	$526.80	$1,066.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.08 / $298.88 / $476.24	Facility		$261.08	$298.88	$476.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.14 / $298.88 / $474.94	Professional		$251.14	$298.88	$474.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.50 / $274.50 / $274.50	Professional		$274.50	$274.50	$274.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $319.70 / $319.70	Professional		$252.56	$319.70	$319.70