Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $186.53 / $1,201.20	Professional		$169.58	$186.53	$1,201.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $571.66 / $635.32	Professional		$150.00	$571.66	$635.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.22 / $286.12 / $890.62	Facility		$156.22	$286.12	$890.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.10 / $407.86 / $1,116.36	Professional		$244.10	$407.86	$1,116.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $220.23 / $448.51 / $1,472.81	Facility		$220.23	$448.51	$1,472.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $326.66 / $466.28	Professional		$220.23	$326.66	$466.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.80 / $308.80 / $308.80	Professional		$308.80	$308.80	$308.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $339.60 / $339.60 / $339.60	Professional		$339.60	$339.60	$339.60