Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $90.65 / $181.89	Facility		$50.23	$90.65	$181.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $40.54 / $45.20	Professional		$30.76	$40.54	$45.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $84.86 / $106.08	Professional		$55.92	$84.86	$106.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $81.55 / $282.92	Professional		$46.60	$81.55	$282.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $60.58 / $120.04	Facility		$46.60	$60.58	$120.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $48.00 / $226.67	Professional		$27.96	$48.00	$226.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $87.22 / $120.04	Facility		$55.92	$87.22	$120.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $87.22 / $122.64	Professional		$55.92	$87.22	$122.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $83.18	Professional		$46.60	$46.60	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $103.68	Professional		$27.96	$27.96	$103.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $46.60	Professional		$46.60	$46.60	$46.60