Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $100.10 / $140.02	Facility		$55.47	$100.10	$140.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $44.76 / $49.91	Professional		$33.96	$44.76	$49.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $93.35 / $116.69	Professional		$61.79	$93.35	$116.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $90.04 / $271.55	Professional		$64.31	$90.04	$271.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $66.39 / $137.37	Facility		$51.45	$66.39	$137.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $51.45 / $166.03	Professional		$30.87	$51.45	$166.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $94.35 / $114.32	Facility		$61.74	$94.35	$114.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $94.35 / $112.75	Professional		$61.74	$94.35	$112.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $91.84	Professional		$51.45	$51.45	$91.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $30.87 / $130.12	Professional		$30.87	$30.87	$130.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Professional		$51.45	$51.45	$51.45