Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $82.00 / $148.88	Facility		$42.13	$82.00	$148.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $46.34 / $81.18	Professional		$42.13	$46.34	$81.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $76.51 / $95.64	Professional		$48.40	$76.51	$95.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $63.20 / $76.26	Professional		$46.34	$63.20	$76.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $54.37 / $143.86	Facility		$42.13	$54.37	$143.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $37.92 / $106.55	Professional		$25.28	$37.92	$106.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $70.03 / $107.85	Facility		$42.13	$70.03	$107.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $70.03 / $110.19	Professional		$50.56	$70.03	$110.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $568.75 / $568.75 / $568.75	Facility		$568.75	$568.75	$568.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $96.90	Professional		$25.28	$25.28	$96.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $42.13 / $42.13	Professional		$33.28	$42.13	$42.13