Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.92 / $1,873.92 / $1,873.92	Facility		$1,873.92	$1,873.92	$1,873.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $112.64 / $520.00	Professional		$101.40	$112.64	$520.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $342.65 / $380.80	Professional		$150.00	$342.65	$380.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $179.04 / $1,300.32	Facility		$93.99	$179.04	$1,300.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $268.54 / $728.46	Professional		$146.94	$268.54	$728.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.34 / $293.83 / $1,314.76	Facility		$145.34	$293.83	$1,314.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.79 / $213.07 / $297.70	Professional		$143.79	$213.07	$297.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $154.40 / $154.40	Professional		$154.40	$154.40	$154.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $223.60 / $223.60	Professional		$223.60	$223.60	$223.60