Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.60 / $257.06 / $257.06	Professional		$204.60	$257.06	$257.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $836.55 / $1,072.40	Professional		$150.00	$836.55	$1,072.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.18 / $406.11 / $835.97	Facility		$243.18	$406.11	$835.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $513.79 / $1,712.50	Professional		$386.77	$513.79	$1,712.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.22 / $406.11 / $617.23	Facility		$331.22	$406.11	$617.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.31 / $435.55 / $643.11	Professional		$338.31	$435.55	$643.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.70 / $249.70 / $249.70	Professional		$249.70	$249.70	$249.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $705.00 / $705.00	Professional		$705.00	$705.00	$705.00