Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $426.27 / $535.57	Professional		$89.23	$426.27	$535.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $545.14 / $626.04	Professional		$150.00	$545.14	$626.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $568.13 / $2,137.76	Facility		$61.08	$568.13	$2,137.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $847.16 / $3,202.34	Professional		$94.88	$847.16	$3,202.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $568.13 / $847.16	Facility		$101.11	$568.13	$847.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $568.13 / $1,310.92	Professional		$93.10	$568.13	$1,310.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $67.09	Professional		$67.09	$67.09	$67.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,780.00 / $1,780.00 / $1,780.00	Professional		$1,780.00	$1,780.00	$1,780.00