Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $85.11 / $123.03	Facility		$33.88	$85.11	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $56.23	Professional		$28.84	$38.02	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $107.15	Professional		$57.54	$87.10	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $81.28 / $213.80	Professional		$28.18	$81.28	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $53.70 / $102.33	Facility		$44.67	$53.70	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $181.97	Professional		$26.92	$46.77	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $57.54	Professional		$53.70	$53.70	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $95.50	Professional		$44.67	$48.98	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $102.33	Facility		$44.67	$44.67	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $114.82	Professional		$26.92	$26.92	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67