Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $323.59	Professional		$204.17	$251.19	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,071.52	Professional		$676.08	$758.58	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $851.14	Facility		$245.47	$407.38	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,698.24	Professional		$389.05	$501.19	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $851.14	Professional		$338.84	$407.38	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $851.14	Professional		$446.68	$724.44	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95