Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.78 / $83.94 / $536.26	Facility		$31.78	$83.94	$536.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $30.80 / $184.80	Professional		$14.34	$30.80	$184.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $39.17 / $48.96	Professional		$24.78	$39.17	$48.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $38.03 / $124.60	Professional		$21.73	$38.03	$124.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $36.43 / $103.80	Facility		$21.73	$36.43	$103.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $21.73 / $56.72	Professional		$13.04	$21.73	$56.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $44.28 / $68.12	Facility		$26.62	$44.28	$68.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $44.28 / $62.27	Professional		$26.10	$44.28	$62.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Facility		$52.49	$52.49	$52.49
United Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $49.98	Professional		$13.04	$13.04	$49.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $21.73 / $21.73	Professional		$17.17	$21.73	$21.73