Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $80.00 / $161.60	Facility		$56.60	$80.00	$161.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $29.05 / $49.63	Professional		$24.90	$29.05	$49.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $68.54 / $85.68	Professional		$43.37	$68.54	$85.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $48.37 / $141.46	Professional		$37.72	$48.37	$141.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $49.05 / $103.08	Facility		$33.29	$49.05	$103.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $37.72 / $95.00	Professional		$16.05	$37.72	$95.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $63.31 / $97.05	Facility		$46.21	$63.31	$97.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $75.45 / $98.48	Professional		$45.28	$75.45	$98.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $73.84 / $73.84	Facility		$73.84	$73.84	$73.84
United Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $56.60 / $56.60	Facility		$56.60	$56.60	$56.60
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $22.64 / $77.55	Professional		$16.05	$22.64	$77.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $37.72 / $37.72	Professional		$29.81	$37.72	$37.72