Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $63.10 / $97.72	Facility		$36.31	$63.10	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $263.03	Professional		$26.92	$32.36	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $87.10	Professional		$44.67	$70.79	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $89.13 / $151.36	Professional		$36.31	$89.13	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $47.86 / $114.82	Facility		$36.31	$47.86	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $95.50	Professional		$21.88	$43.65	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $46.77	Professional		$43.65	$44.67	$46.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $81.28	Facility		$36.31	$36.31	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $89.13	Professional		$21.88	$30.90	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $36.31	Professional		$28.84	$36.31	$36.31