Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $95.50 / $245.47	Facility		$35.48	$95.50	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $52.48 / $204.17	Professional		$25.70	$52.48	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $70.79	Professional		$36.31	$57.54	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $112.20	Professional		$29.51	$72.44	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $141.25	Facility		$29.51	$50.12	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $77.62	Professional		$17.78	$30.20	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $478.63	Professional		$35.48	$38.02	$478.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $446.68 / $588.84	Facility		$208.93	$446.68	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $66.07	Facility		$29.51	$29.51	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $72.44	Professional		$17.78	$24.55	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $29.51	Professional		$23.44	$29.51	$29.51