Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.67 / $91.43 / $127.90	Facility		$50.67	$91.43	$127.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $40.89 / $45.59	Professional		$31.02	$40.89	$45.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $85.52 / $106.90	Professional		$56.45	$85.52	$106.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $82.25 / $155.35	Professional		$58.75	$82.25	$155.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $60.65 / $125.49	Facility		$47.00	$60.65	$125.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $47.00 / $184.49	Professional		$28.20	$47.00	$184.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $86.18 / $104.45	Facility		$56.40	$86.18	$104.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $84.60 / $119.85	Professional		$56.40	$84.60	$119.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $83.89	Professional		$47.00	$47.00	$83.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $96.23	Professional		$28.20	$28.20	$96.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Professional		$47.00	$47.00	$47.00