Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.72 / $296.11 / $296.11	Professional		$235.72	$296.11	$296.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $831.37 / $1,344.46	Professional		$150.00	$831.37	$1,344.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.45 / $445.23 / $853.91	Facility		$267.45	$445.23	$853.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.17 / $557.53 / $1,905.62	Professional		$381.17	$557.53	$1,905.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $332.67 / $468.00 / $605.48	Facility		$332.67	$468.00	$605.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.52 / $468.21 / $724.59	Professional		$363.52	$468.21	$724.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Professional		$305.39	$305.39	$305.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $711.00 / $711.00	Professional		$711.00	$711.00	$711.00