Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $93.33 / $457.09	Facility		$6.03	$93.33	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.12 / $131.83	Professional		$4.79	$9.12	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $50.12 / $89.13	Professional		$5.62	$50.12	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $74.13 / $295.12	Professional		$5.37	$74.13	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $53.70 / $131.83	Facility		$5.75	$53.70	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $363.08	Professional		$48.98	$95.50	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $70.79 / $131.83	Professional		$8.51	$70.79	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $102.33 / $154.88	Professional		$9.77	$102.33	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $60.26 / $141.25	Professional		$6.31	$60.26	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $47.86 / $125.89	Professional		$6.31	$47.86	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $100.00	Professional		$8.51	$10.23	$100.00