Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $74.13 / $109.65	Facility		$30.20	$74.13	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $66.07	Professional		$26.92	$33.88	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $95.50	Professional		$51.29	$75.86	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $144.54	Professional		$48.98	$70.79	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $100.00	Facility		$38.90	$46.77	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $158.49	Professional		$23.44	$40.74	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $51.29	Professional		$46.77	$46.77	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $83.18	Professional		$38.90	$42.66	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $91.20	Facility		$38.90	$38.90	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $100.00	Professional		$23.44	$23.44	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90