Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $140.16 / $140.16	Professional		$113.01	$140.16	$140.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $546.32 / $597.80	Professional		$150.00	$546.32	$597.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.20 / $270.67 / $864.71	Facility		$182.20	$270.67	$864.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $395.00 / $1,307.34	Professional		$217.86	$395.00	$1,307.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.03 / $275.30 / $496.83	Facility		$204.03	$275.30	$496.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.35 / $323.31 / $496.83	Professional		$216.35	$323.31	$496.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $232.10 / $232.10	Professional		$232.10	$232.10	$232.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00