Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.83 / $261.08 / $261.08	Professional		$207.83	$261.08	$261.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $868.61 / $913.76	Professional		$150.00	$868.61	$913.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.80 / $412.91 / $685.74	Facility		$252.80	$412.91	$685.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $513.79 / $1,733.46	Professional		$386.77	$513.79	$1,733.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $336.45 / $412.91 / $617.23	Facility		$336.45	$412.91	$617.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.56 / $444.00 / $646.16	Professional		$339.56	$444.00	$646.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.30 / $453.30 / $453.30	Professional		$453.30	$453.30	$453.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $578.00 / $578.00	Professional		$578.00	$578.00	$578.00