Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $152.59 / $336.51	Facility		$72.62	$152.59	$336.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $88.62 / $363.00	Professional		$51.87	$88.62	$363.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $122.07 / $152.59	Professional		$77.23	$122.07	$152.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $117.88 / $225.74	Professional		$67.36	$117.88	$225.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $104.07 / $211.17	Facility		$67.36	$104.07	$211.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $69.38 / $183.99	Professional		$40.42	$69.38	$183.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $121.41 / $211.17	Facility		$82.49	$121.41	$211.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $137.22 / $183.99	Professional		$80.89	$137.22	$183.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $94.18 / $94.18 / $94.18	Facility		$94.18	$94.18	$94.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $56.47 / $154.93	Professional		$40.42	$56.47	$154.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $67.36 / $67.36	Professional		$53.21	$67.36	$67.36