Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $62.72 / $125.00	Facility		$40.63	$62.72	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $45.23 / $89.60	Professional		$44.16	$45.23	$89.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $64.17 / $80.20	Professional		$40.60	$64.17	$80.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $45.93 / $154.58	Facility		$35.33	$45.93	$154.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $27.07 / $97.51	Professional		$23.53	$27.07	$97.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $72.78 / $154.58	Facility		$42.44	$72.78	$154.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $75.23 / $118.39	Professional		$42.40	$75.23	$118.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $174.36 / $684.16 / $1,181.74	Facility		$174.36	$684.16	$1,181.74
United Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Facility		$45.37	$45.37	$45.37
United Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $24.55 / $81.26	Professional		$23.53	$24.55	$81.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $35.33 / $35.33	Professional		$27.91	$35.33	$35.33