Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $97.55 / $444.79	Facility		$11.58	$97.55	$444.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $10.84 / $113.40	Professional		$4.80	$10.84	$113.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $52.27 / $129.84	Professional		$7.03	$52.27	$129.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $72.56 / $171.82	Professional		$5.97	$72.56	$171.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $63.84 / $129.84	Facility		$6.10	$63.84	$129.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $102.54 / $351.34	Professional		$49.08	$102.54	$351.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $69.51 / $129.84	Facility		$8.25	$69.51	$129.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $70.97 / $129.84	Professional		$8.25	$70.97	$129.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $50.04 / $111.31	Professional		$6.12	$50.04	$111.31
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $88.28 / $142.41	Professional		$57.74	$88.28	$142.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $10.30 / $100.20	Professional		$8.50	$10.30	$100.20