Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $63.31 / $115.96	Facility		$42.06	$63.31	$115.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $28.16 / $66.00	Professional		$24.14	$28.16	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $66.59 / $83.23	Professional		$42.13	$66.59	$83.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $64.00 / $136.83	Professional		$36.57	$64.00	$136.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $61.31 / $175.84	Facility		$36.57	$61.31	$175.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $37.67 / $99.76	Professional		$21.94	$37.67	$99.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $74.50 / $114.65	Facility		$44.79	$74.50	$114.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $74.50 / $104.77	Professional		$43.92	$74.50	$104.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $85.71 / $85.71 / $85.71	Facility		$85.71	$85.71	$85.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $30.65 / $88.57	Professional		$21.94	$30.65	$88.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $36.57 / $36.57	Professional		$28.89	$36.57	$36.57