Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $112.64 / $118.39	Professional		$107.62	$112.64	$118.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $362.18 / $402.50	Professional		$150.00	$362.18	$402.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $181.55 / $890.62	Facility		$99.38	$181.55	$890.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $216.14 / $738.66	Professional		$154.27	$216.14	$738.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.34 / $247.38 / $1,472.81	Facility		$145.34	$247.38	$1,472.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $179.04 / $276.95	Professional		$145.19	$179.04	$276.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $125.10 / $125.10	Professional		$125.10	$125.10	$125.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $231.30 / $231.30 / $231.30	Professional		$231.30	$231.30	$231.30