Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $65.52 / $135.41	Facility		$35.22	$65.52	$135.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $30.83 / $98.00	Professional		$18.54	$30.83	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $43.74 / $54.67	Professional		$27.67	$43.74	$54.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $36.11 / $106.00	Professional		$24.08	$36.11	$106.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $31.30 / $85.97	Facility		$24.08	$31.30	$85.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.08 / $58.32	Professional		$13.80	$24.08	$58.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $45.62 / $65.88	Facility		$29.49	$45.62	$65.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $49.06 / $62.85	Professional		$28.90	$49.06	$62.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $450.80 / $778.64	Facility		$140.10	$450.80	$778.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $55.38	Professional		$13.80	$14.45	$55.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $24.08 / $24.08	Professional		$19.02	$24.08	$24.08