Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.26 / $5,463.36 / $7,119.04	Facility		$1,656.26	$5,463.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $219.34 / $585.20	Professional		$199.40	$219.34	$585.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $671.10 / $745.82	Professional		$150.00	$671.10	$745.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $335.76 / $890.62	Facility		$183.96	$335.76	$890.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $286.32 / $497.02 / $1,334.79	Professional		$286.32	$497.02	$1,334.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.36 / $497.02 / $1,472.81	Facility		$263.36	$497.02	$1,472.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $375.45 / $554.63	Professional		$263.36	$375.45	$554.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $349.30 / $349.30 / $349.30	Professional		$349.30	$349.30	$349.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $420.00	Professional		$420.00	$420.00	$420.00