Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $97.65 / $347.89	Facility		$60.30	$97.65	$347.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $39.15 / $89.37	Professional		$33.57	$39.15	$89.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $92.04 / $115.06	Professional		$58.23	$92.04	$115.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $89.01 / $287.27	Professional		$50.86	$89.01	$287.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $85.26 / $242.94	Facility		$50.86	$85.26	$242.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $52.39 / $139.66	Professional		$30.52	$52.39	$139.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $103.62 / $159.44	Facility		$62.28	$103.62	$159.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $103.62 / $145.69	Professional		$61.08	$103.62	$145.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $293.76 / $293.76 / $293.76	Facility		$293.76	$293.76	$293.76
United Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $42.63 / $142.06	Professional		$30.52	$42.63	$142.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $50.86 / $50.86	Professional		$40.18	$50.86	$50.86