Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $77.50 / $3,479.65	Facility		$66.20	$77.50	$3,479.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $37.78 / $42.13	Professional		$37.78	$37.78	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $78.98 / $98.74	Professional		$52.12	$78.98	$98.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $65.15 / $221.97	Professional		$47.77	$65.15	$221.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $56.04 / $111.18	Facility		$43.43	$56.04	$111.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $29.14 / $163.18	Professional		$26.06	$29.14	$163.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $65.94 / $95.17	Facility		$52.12	$65.94	$95.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $79.42 / $113.35	Professional		$52.12	$79.42	$113.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $77.52	Professional		$43.43	$43.43	$77.52
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $94.68	Professional		$26.06	$26.06	$94.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Professional		$43.43	$43.43	$43.43