Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.45 / $96.46 / $210.71	Facility		$53.45	$96.46	$210.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $43.14 / $48.10	Professional		$32.72	$43.14	$48.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $90.09 / $112.61	Professional		$59.56	$90.09	$112.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $86.78 / $228.61	Professional		$49.59	$86.78	$228.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $64.47 / $139.07	Facility		$49.59	$64.47	$139.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $51.08 / $247.95	Professional		$29.75	$51.08	$247.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $101.03 / $139.07	Facility		$59.51	$101.03	$139.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $101.03 / $142.07	Professional		$59.56	$101.03	$142.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $88.52	Professional		$49.59	$49.59	$88.52
United Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $49.59 / $114.06	Facility		$49.59	$49.59	$114.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $29.75 / $135.30	Professional		$29.75	$29.75	$135.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $49.59	Professional		$49.59	$49.59	$49.59