Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.13 / $233.83 / $233.83	Professional		$186.13	$233.83	$233.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,523.21 / $1,749.28	Professional		$150.00	$1,523.21	$1,749.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.31 / $572.91 / $844.34	Facility		$301.31	$572.91	$844.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.20 / $748.68 / $2,713.22	Professional		$370.20	$748.68	$2,713.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $370.20 / $748.68 / $1,183.28	Facility		$370.20	$748.68	$1,183.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $370.20 / $572.91 / $980.18	Professional		$370.20	$572.91	$980.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $229.50 / $229.50	Professional		$229.50	$229.50	$229.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $382.30 / $382.30	Professional		$382.30	$382.30	$382.30