Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $66.07 / $147.91	Facility		$20.89	$66.07	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $154.88	Professional		$18.20	$23.99	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $66.07	Professional		$33.88	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $67.61 / $147.91	Professional		$27.54	$67.61	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $35.48 / $87.10	Facility		$27.54	$35.48	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.54 / $72.44	Professional		$16.60	$27.54	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $35.48	Professional		$33.11	$33.88	$35.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $61.66	Facility		$27.54	$27.54	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $67.61	Professional		$16.60	$22.91	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $27.54	Professional		$21.88	$27.54	$27.54