Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $154.88	Professional		$107.15	$141.25	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $323.59	Professional		$229.09	$302.00	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $1,288.25	Facility		$85.11	$177.83	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $912.01	Professional		$138.04	$234.42	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $363.08	Professional		$138.04	$234.42	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $338.84	Professional		$154.88	$173.78	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54