Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $691.83 / $741.31	Facility		$28.18	$691.83	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $251.19	Professional		$28.18	$30.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $41.69	Professional		$33.11	$40.74	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $363.08	Professional		$151.36	$309.03	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $72.44	Facility		$36.31	$40.74	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $60.26	Professional		$30.20	$30.20	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $69.18	Professional		$36.31	$44.67	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $48.98	Professional		$36.31	$48.98	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $691.83	Professional		$512.86	$575.44	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $48.98	Facility		$0.03	$0.03	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $30.20	Professional		$23.44	$30.20	$30.20