Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $80.00 / $235.69	Facility		$56.38	$80.00	$235.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $36.17 / $68.72	Professional		$31.01	$36.17	$68.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $85.52 / $106.90	Professional		$54.10	$85.52	$106.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $58.73 / $208.47	Professional		$44.84	$58.73	$208.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $60.63 / $127.45	Facility		$35.90	$60.63	$127.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $46.98 / $117.00	Professional		$16.05	$46.98	$117.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $67.20 / $104.41	Facility		$56.38	$67.20	$104.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $93.96 / $122.62	Professional		$56.38	$93.96	$122.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $256.77 / $256.77	Facility		$256.77	$256.77	$256.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $28.19 / $65.65	Professional		$16.05	$28.19	$65.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $46.98 / $46.98	Professional		$37.11	$46.98	$46.98