Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $110.96 / $155.21	Facility		$61.49	$110.96	$155.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $49.62 / $112.58	Professional		$43.92	$49.62	$112.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $103.14 / $128.93	Professional		$68.51	$103.14	$128.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $99.82 / $383.96	Professional		$71.30	$99.82	$383.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $73.61 / $152.30	Facility		$57.04	$73.61	$152.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $57.04 / $184.07	Professional		$34.22	$57.04	$184.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $104.58 / $126.75	Facility		$68.45	$104.58	$126.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $104.58 / $132.90	Professional		$68.45	$104.58	$132.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $101.82	Professional		$57.04	$57.04	$101.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $169.37	Professional		$34.22	$34.22	$169.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Professional		$57.04	$57.04	$57.04