Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $90.65 / $126.80	Facility		$50.23	$90.65	$126.80
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 $55.97 / $84.86 / $106.08	Professional		$55.97	$84.86	$106.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $81.55 / $184.40	Professional		$51.26	$81.55	$184.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $60.14 / $124.42	Facility		$46.60	$60.14	$124.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $46.60 / $207.47	Professional		$27.96	$46.60	$207.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $87.22 / $117.46	Facility		$55.92	$87.22	$117.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $85.61 / $118.83	Professional		$55.92	$85.61	$118.83
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