Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $170.71 / $214.47	Professional		$79.59	$170.71	$214.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $249.41 / $403.33	Professional		$150.00	$249.41	$403.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $239.84 / $524.67	Facility		$53.40	$239.84	$524.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $339.15 / $1,283.58	Professional		$89.22	$339.15	$1,283.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $239.84 / $355.53	Facility		$89.05	$239.84	$355.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $239.84 / $418.93	Professional		$89.22	$239.84	$418.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $38.40 / $38.40	Professional		$38.40	$38.40	$38.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $237.50 / $237.50	Professional		$237.50	$237.50	$237.50