Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $307.63 / $763.69	Facility		$75.91	$307.63	$763.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $53.61 / $196.80	Professional		$28.49	$53.61	$196.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $74.42 / $93.02	Professional		$33.75	$74.42	$93.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $49.31 / $136.15	Professional		$32.75	$49.31	$136.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $60.51 / $281.60	Facility		$41.51	$60.51	$281.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $41.00 / $105.37	Professional		$22.50	$41.00	$105.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $74.84 / $93.00	Facility		$41.51	$74.84	$93.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $78.77 / $109.34	Professional		$44.91	$78.77	$109.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $233.65 / $403.57	Facility		$9.34	$233.65	$403.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $25.73 / $79.22	Professional		$22.50	$25.73	$79.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $28.10 / $28.10	Professional		$22.20	$28.10	$28.10