Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $113.68 / $318.38	Facility		$39.82	$113.68	$318.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $20.96 / $175.03	Professional		$20.96	$20.96	$175.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $49.61 / $62.02	Professional		$31.39	$49.61	$62.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $40.83 / $108.62	Professional		$27.22	$40.83	$108.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $39.86 / $87.32	Facility		$27.22	$39.86	$87.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $27.22 / $73.27	Professional		$16.32	$27.22	$73.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $45.67 / $76.69	Facility		$32.81	$45.67	$76.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $45.67 / $71.04	Professional		$32.65	$45.67	$71.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $2,452.78 / $4,236.58	Facility		$104.27	$2,452.78	$4,236.58
United Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.66 / $64.90	Professional		$16.32	$16.66	$64.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $27.22 / $27.22	Professional		$21.50	$27.22	$27.22