Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $144.54 / $724.44	Facility		$66.07	$144.54	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $229.09	Professional		$47.86	$61.66	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $158.49	Professional		$85.11	$125.89	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $467.74	Professional		$72.44	$117.49	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $181.97	Facility		$66.07	$77.62	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $323.59	Professional		$38.90	$79.43	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $138.04	Professional		$66.07	$70.79	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $151.36	Facility		$66.07	$66.07	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $177.83	Professional		$38.90	$40.74	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07