Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $119.68 / $167.41	Facility		$66.31	$119.68	$167.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $53.52 / $59.67	Professional		$40.60	$53.52	$59.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $111.63 / $139.54	Professional		$73.89	$111.63	$139.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $107.66 / $538.04	Professional		$67.67	$107.66	$538.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $79.38 / $149.11	Facility		$61.52	$79.38	$149.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $61.52 / $198.53	Professional		$36.90	$61.52	$198.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $112.80 / $136.72	Facility		$73.81	$112.80	$136.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $112.80 / $134.82	Professional		$73.81	$112.80	$134.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $109.81	Professional		$61.52	$61.52	$109.81
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $134.11	Professional		$36.90	$36.90	$134.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52