Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $108.30 / $268.50	Facility		$38.52	$108.30	$268.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $45.94 / $170.00	Professional		$22.79	$45.94	$170.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $54.18 / $67.73	Professional		$34.28	$54.18	$67.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $51.80 / $112.78	Professional		$29.60	$51.80	$112.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $50.93 / $141.54	Facility		$29.60	$50.93	$141.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $29.60 / $77.26	Professional		$17.76	$29.60	$77.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $60.31 / $92.80	Facility		$36.26	$60.31	$92.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $60.31 / $84.84	Professional		$35.54	$60.31	$84.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $341.56 / $589.96	Facility		$106.40	$341.56	$589.96
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $24.82 / $82.72	Professional		$17.76	$24.82	$82.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $29.60 / $29.60	Professional		$23.38	$29.60	$29.60