Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $75.15 / $147.76	Facility		$29.97	$75.15	$147.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $21.41 / $183.04	Professional		$18.35	$21.41	$183.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $50.27 / $62.83	Professional		$31.80	$50.27	$62.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $48.65 / $141.24	Professional		$27.80	$48.65	$141.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $42.98 / $133.26	Facility		$27.80	$42.98	$133.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $27.80 / $76.48	Professional		$16.68	$27.80	$76.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $56.63 / $87.15	Facility		$34.06	$56.63	$87.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $54.79 / $76.48	Professional		$33.36	$54.79	$76.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $63.60 / $63.60	Facility		$63.60	$63.60	$63.60
United Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $17.05 / $67.34	Professional		$16.68	$17.05	$67.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $27.80 / $27.80	Professional		$21.96	$27.80	$27.80