Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $91.43 / $127.90	Facility		$47.00	$91.43	$127.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $36.19 / $45.59	Professional		$31.02	$36.19	$45.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $85.52 / $106.90	Professional		$56.40	$85.52	$106.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $70.50 / $85.07	Professional		$51.70	$70.50	$85.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $60.65 / $120.32	Facility		$47.00	$60.65	$120.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $31.54 / $176.59	Professional		$28.20	$31.54	$176.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $71.37 / $103.01	Facility		$56.40	$71.37	$103.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $85.95 / $122.67	Professional		$56.40	$85.95	$122.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $83.89	Professional		$47.00	$47.00	$83.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $96.23	Professional		$28.20	$28.20	$96.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Professional		$47.00	$47.00	$47.00