Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $98.87 / $349.33	Facility		$56.39	$98.87	$349.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $32.94 / $134.40	Professional		$29.68	$32.94	$134.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $58.10 / $72.62	Professional		$36.76	$58.10	$72.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $12.82 / $85.11	Professional		$8.38	$12.82	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $59.62 / $875.40	Facility		$33.71	$59.62	$875.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $32.93 / $100.55	Professional		$15.89	$32.93	$100.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $62.82 / $96.08	Facility		$28.00	$62.82	$96.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $62.82 / $104.35	Professional		$32.93	$62.82	$104.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,228.08 / $1,228.08 / $1,228.08	Facility		$1,228.08	$1,228.08	$1,228.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $24.55 / $102.72	Professional		$16.03	$24.55	$102.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $284.16 / $359.70 / $359.70	Professional		$284.16	$359.70	$359.70