Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $158.30 / $158.30	Professional		$126.00	$158.30	$158.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $400.72 / $424.53	Professional		$150.00	$400.72	$424.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $214.62 / $387.61	Facility		$121.66	$214.62	$387.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $295.36 / $1,009.33	Professional		$198.46	$295.36	$1,009.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.38 / $214.00 / $304.04	Facility		$167.38	$214.00	$304.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.35 / $250.37 / $387.61	Professional		$186.35	$250.37	$387.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $285.20	Professional		$285.20	$285.20	$285.20