Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $42.66 / $56.23	Facility		$15.14	$42.66	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $23.99	Professional		$12.88	$15.85	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $42.66	Professional		$20.42	$33.88	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $53.70	Professional		$10.96	$19.95	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $380.19	Facility		$15.85	$25.12	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.49 / $147.91	Professional		$8.13	$13.49	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $102.33	Professional		$32.36	$51.29	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $102.33	Professional		$32.36	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $77.62	Professional		$57.54	$64.57	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $426.58 / $524.81	Facility		$245.47	$426.58	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.18 / $24.55	Professional		$8.13	$13.18	$24.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $169.82	Professional		$134.90	$169.82	$169.82