Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $103.43 / $103.43	Professional		$82.35	$103.43	$103.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $280.83 / $290.72	Professional		$150.00	$280.83	$290.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $162.38 / $271.89	Facility		$94.36	$162.38	$271.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.99 / $198.34 / $677.88	Professional		$143.99	$198.34	$677.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $164.00 / $230.09	Facility		$126.29	$164.00	$230.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $166.00 / $253.66	Professional		$133.52	$166.00	$253.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $157.69 / $157.69	Professional		$157.69	$157.69	$157.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $226.40 / $226.40 / $226.40	Professional		$226.40	$226.40	$226.40