Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $149.10 / $149.10	Professional		$118.68	$149.10	$149.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $280.58 / $322.23	Professional		$150.00	$280.58	$322.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $178.92 / $1,300.32	Facility		$84.93	$178.92	$1,300.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $235.80 / $902.23	Professional		$148.00	$235.80	$902.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $264.04 / $1,314.76	Facility		$138.47	$264.04	$1,314.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $177.78 / $339.69	Professional		$133.16	$177.78	$339.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $165.30 / $165.30	Professional		$165.30	$165.30	$165.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $143.30 / $143.30	Professional		$143.30	$143.30	$143.30