Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $223.87	Facility		$51.29	$91.20	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $338.84	Professional		$33.88	$46.77	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $120.23	Professional		$61.66	$97.72	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $302.00	Professional		$51.29	$91.20	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $158.49	Facility		$51.29	$66.07	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $131.83	Professional		$30.20	$61.66	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Professional		$61.66	$61.66	$66.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $112.20	Facility		$51.29	$51.29	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $123.03	Professional		$30.20	$42.66	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $51.29	Professional		$39.81	$51.29	$51.29