Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $106.43 / $226.93	Facility		$56.50	$106.43	$226.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.74 / $320.32	Professional		$25.49	$29.74	$320.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $69.84 / $87.31	Professional		$44.19	$69.84	$87.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $67.59 / $187.93	Professional		$38.61	$67.59	$187.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $64.76 / $183.99	Facility		$38.61	$64.76	$183.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $38.61 / $100.80	Professional		$23.17	$38.61	$100.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $78.68 / $121.07	Facility		$47.30	$78.68	$121.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $78.68 / $110.67	Professional		$46.37	$78.68	$110.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $292.77 / $292.77 / $292.77	Facility		$292.77	$292.77	$292.77
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $32.38 / $88.83	Professional		$23.17	$32.38	$88.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $38.61 / $38.61	Professional		$30.51	$38.61	$38.61