Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $323.59	Facility		$67.61	$102.33	$323.59
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $128.82	Facility		$77.62	$97.72	$128.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $40,738.03	Facility		$40,738.03	$40,738.03	$40,738.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $229.09 / $645.65	Facility		$75.86	$229.09	$645.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $28,183.83 / $40,738.03	Facility		$18,197.01	$28,183.83	$40,738.03