Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $71.25 / $99.66	Facility		$39.47	$71.25	$99.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $31.86 / $35.52	Professional		$24.17	$31.86	$35.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $66.59 / $83.23	Professional		$43.98	$66.59	$83.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $64.09 / $143.02	Professional		$45.78	$64.09	$143.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $47.25 / $97.78	Facility		$36.61	$47.25	$97.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $36.61 / $118.18	Professional		$21.97	$36.61	$118.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $67.14 / $81.38	Facility		$43.94	$67.14	$81.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $67.14 / $85.32	Professional		$43.94	$67.14	$85.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $65.37	Professional		$36.61	$36.61	$65.37
United Facility/Professional Facility Modifier Low / Median / High Price $54.93 / $54.93 / $54.93	Facility		$54.93	$54.93	$54.93
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $21.97 / $79.83	Professional		$21.97	$21.97	$79.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Professional		$36.61	$36.61	$36.61