Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $84.92 / $185.48	Facility		$47.05	$84.92	$185.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $37.97 / $42.34	Professional		$28.81	$37.97	$42.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $79.64 / $99.55	Professional		$52.42	$79.64	$99.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $76.39 / $251.34	Professional		$43.65	$76.39	$251.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.75 / $122.40	Facility		$43.65	$56.75	$122.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $44.96 / $218.25	Professional		$26.19	$44.96	$218.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $88.93 / $122.40	Facility		$52.38	$88.93	$122.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $88.93 / $125.06	Professional		$52.42	$88.93	$125.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $77.92	Professional		$43.65	$43.65	$77.92
United Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $26.19 / $119.09	Professional		$26.19	$26.19	$119.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65