Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $288.05 / $288.05	Professional		$203.13	$288.05	$288.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $574.10 / $735.96	Professional		$150.00	$574.10	$735.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $345.09 / $704.47	Facility		$170.09	$345.09	$704.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $512.11 / $1,750.16	Professional		$299.00	$512.11	$1,750.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $232.93 / $370.74 / $512.11	Facility		$232.93	$370.74	$512.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.20 / $370.74 / $698.97	Professional		$265.20	$370.74	$698.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $279.60 / $279.60 / $279.60	Professional		$279.60	$279.60	$279.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $582.00 / $582.00 / $582.00	Professional		$582.00	$582.00	$582.00