Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $31.64 / $31.64	Professional		$25.19	$31.64	$31.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $95.79 / $150.00	Professional		$88.81	$95.79	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $49.98 / $77.43	Facility		$29.32	$49.98	$77.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $61.41 / $209.82	Professional		$45.18	$61.41	$209.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $49.98 / $72.19	Facility		$39.61	$49.98	$72.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $50.94 / $77.43	Professional		$40.36	$50.94	$77.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Professional		$50.40	$50.40	$50.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Professional		$60.80	$60.80	$60.80