Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $50.12	Facility		$46.77	$46.77	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $60.26	Professional		$40.74	$47.86	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $51.29	Professional		$9.12	$11.22	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $302.00 / $512.86	Professional		$8.91	$302.00	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $47.86 / $75.86	Facility		$8.91	$47.86	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $52.48 / $407.38	Professional		$19.05	$52.48	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $16.98	Professional		$10.72	$13.49	$16.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.05 / $54.95	Professional		$12.59	$19.05	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $19.05	Professional		$9.55	$15.85	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $58.88	Professional		$46.77	$58.88	$58.88