Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $134.94 / $624.79	Professional		$129.74	$134.94	$624.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $429.64 / $477.48	Professional		$150.00	$429.64	$477.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $215.12 / $890.62	Facility		$117.48	$215.12	$890.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $317.67 / $850.03	Professional		$183.48	$317.67	$850.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.18 / $317.67 / $1,472.81	Facility		$168.18	$317.67	$1,472.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $245.97 / $355.17	Professional		$168.18	$245.97	$355.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.70 / $249.70 / $249.70	Professional		$249.70	$249.70	$249.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $271.39 / $271.39	Professional		$271.39	$271.39	$271.39