Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $62.62 / $156.75	Facility		$41.61	$62.62	$156.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $30.53 / $225.63	Professional		$27.02	$30.53	$225.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $63.32 / $79.15	Professional		$40.06	$63.32	$79.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $52.64 / $118.18	Professional		$35.09	$52.64	$118.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $49.29 / $120.65	Facility		$30.78	$49.29	$120.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $42.11 / $162.22	Professional		$21.05	$42.11	$162.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $65.00 / $110.01	Facility		$42.14	$65.00	$110.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $71.48 / $101.09	Professional		$42.14	$71.48	$101.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $41.72 / $41.72	Facility		$41.72	$41.72	$41.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $62.64	Professional		$35.09	$35.09	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.11 / $88.74	Professional		$21.05	$21.11	$88.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $35.09 / $35.09	Professional		$27.72	$35.09	$35.09