Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.94 / $20.98	Professional		$11.66	$16.94	$20.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $35.38 / $100.00	Professional		$35.38	$35.38	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $23.98 / $50.88	Facility		$19.29	$23.98	$50.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $120.20 / $120.20	Professional		$23.96	$120.20	$120.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $32.03 / $73.51	Facility		$22.18	$32.03	$73.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $32.03 / $52.10	Professional		$22.18	$32.03	$52.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $53.10 / $53.10	Professional		$41.95	$53.10	$53.10