Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $253.33 / $253.33	Professional		$201.63	$253.33	$253.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,107.20 / $1,419.35	Professional		$150.00	$1,107.20	$1,419.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.88 / $532.48 / $1,300.32	Facility		$325.88	$532.48	$1,300.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $628.70 / $1,819.54	Professional		$400.29	$628.70	$1,819.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $358.99 / $619.50 / $1,314.76	Facility		$358.99	$619.50	$1,314.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $358.99 / $532.48 / $818.27	Professional		$358.99	$532.48	$818.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $432.50 / $432.50 / $432.50	Professional		$432.50	$432.50	$432.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $776.00 / $776.00	Professional		$776.00	$776.00	$776.00