Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $47.33 / $116.27	Facility		$16.67	$47.33	$116.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $48.39 / $60.50	Professional		$47.33	$48.39	$60.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $11.59 / $51.42	Professional		$9.08	$11.59	$51.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $36.90 / $433.76	Professional		$8.91	$36.90	$433.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $47.33 / $60.18	Facility		$10.70	$47.33	$60.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $53.42 / $411.45	Professional		$39.84	$53.42	$411.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $13.68 / $26.81	Facility		$6.00	$13.68	$26.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $13.37 / $39.84	Professional		$10.70	$13.37	$39.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.70 / $27.80	Professional		$8.91	$12.70	$27.80
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $51.91 / $59.98	Professional		$50.40	$51.91	$59.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Facility		$58.65	$58.65	$58.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $58.65 / $58.65	Professional		$46.33	$58.65	$58.65