Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.67 / $60.78 / $235.17	Facility		$32.67	$60.78	$235.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $29.39 / $142.00	Professional		$17.20	$29.39	$142.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $62.28 / $64.09	Facility		$60.47	$62.28	$64.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $40.47 / $50.59	Professional		$25.61	$40.47	$50.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $39.10 / $132.86	Professional		$22.34	$39.10	$132.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $38.11 / $169.71	Facility		$21.01	$38.11	$169.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $21.01 / $56.00	Professional		$13.40	$21.01	$56.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $33.07 / $64.09	Facility		$17.05	$33.07	$64.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $35.32 / $54.60	Professional		$20.57	$35.32	$54.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $105.92 / $1,612.23 / $2,784.75	Facility		$105.92	$1,612.23	$2,784.75
United Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $18.25 / $54.13	Professional		$13.40	$18.25	$54.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $22.34 / $22.34	Professional		$17.64	$22.34	$22.34