Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $56.47 / $56.47	Professional		$44.96	$56.47	$56.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.49 / $158.90 / $207.76	Professional		$149.49	$158.90	$207.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $88.79 / $890.62	Facility		$40.17	$88.79	$890.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $122.26 / $352.42	Professional		$70.00	$122.26	$352.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $137.49 / $1,472.81	Facility		$70.00	$137.49	$1,472.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $95.56 / $138.43	Professional		$69.92	$95.56	$138.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $65.50 / $65.50	Professional		$65.50	$65.50	$65.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80