Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $42.59 / $42.59	Professional		$33.89	$42.59	$42.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $157.96 / $171.85	Professional		$147.81	$157.96	$171.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $71.98 / $148.33	Facility		$51.02	$71.98	$148.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $104.31 / $300.23	Professional		$67.44	$104.31	$300.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $81.34 / $127.09	Facility		$59.25	$81.34	$127.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $83.80 / $127.09	Professional		$59.25	$83.80	$127.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Professional		$123.50	$123.50	$123.50