Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $40.20 / $56.23	Facility		$22.27	$40.20	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $15.91 / $24.03	Professional		$13.68	$15.91	$24.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $31.99 / $41.45	Professional		$19.55	$31.99	$41.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.23 / $50.67	Professional		$10.74	$16.23	$50.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $24.50 / $248.32	Facility		$15.91	$24.50	$248.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.19 / $147.55	Professional		$8.13	$13.19	$147.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $30.00 / $54.70	Facility		$19.57	$30.00	$54.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $32.11 / $55.92	Professional		$19.57	$32.11	$55.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $65.44 / $70.84	Professional		$23.20	$65.44	$70.84
United Facility/Professional Facility Modifier Low / Median / High Price $283.41 / $283.41 / $283.41	Facility		$283.41	$283.41	$283.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $13.16 / $22.59	Professional		$8.33	$13.16	$22.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $171.40 / $171.40	Professional		$135.41	$171.40	$171.40