Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $87.29 / $221.00	Facility		$47.25	$87.29	$221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $24.87 / $47.25	Professional		$21.32	$24.87	$47.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $58.75 / $73.44	Professional		$37.17	$58.75	$73.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $56.53 / $180.75	Professional		$32.29	$56.53	$180.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $49.73 / $156.43	Facility		$32.29	$49.73	$156.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $33.27 / $87.56	Professional		$19.38	$33.27	$87.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $65.80 / $101.26	Facility		$39.56	$65.80	$101.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $65.80 / $92.55	Professional		$38.79	$65.80	$92.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $111.44 / $111.44 / $111.44	Facility		$111.44	$111.44	$111.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $21.44 / $78.23	Professional		$19.38	$21.44	$78.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $32.29 / $32.29	Professional		$25.52	$32.29	$32.29