Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $331.93 / $1,137.96	Professional		$264.20	$331.93	$1,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.77 / $1,417.16 / $1,997.61	Professional		$1,261.77	$1,417.16	$1,997.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $341.92 / $560.96 / $4,555.35	Facility		$341.92	$560.96	$4,555.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.99 / $888.93 / $2,436.69	Professional		$524.99	$888.93	$2,436.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $481.22 / $812.32 / $5,383.60	Facility		$481.22	$812.32	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $496.06 / $748.68 / $1,130.18	Professional		$496.06	$748.68	$1,130.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $722.70 / $722.70 / $722.70	Professional		$722.70	$722.70	$722.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $789.21 / $999.00 / $999.00	Professional		$789.21	$999.00	$999.00