Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.35 / $1,873.92 / $8,289.40	Facility		$118.35	$1,873.92	$8,289.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $62.29 / $753.28	Professional		$62.29	$62.29	$753.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $211.23 / $276.17	Professional		$150.00	$211.23	$276.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $98.01 / $890.62	Facility		$52.60	$98.01	$890.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $135.36 / $402.94	Professional		$93.00	$135.36	$402.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.88 / $151.74 / $1,472.81	Facility		$79.88	$151.74	$1,472.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $109.21 / $160.44	Professional		$79.52	$109.21	$160.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $90.30 / $90.30	Professional		$90.30	$90.30	$90.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $130.10	Professional		$130.10	$130.10	$130.10