Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $108.44 / $177.43	Facility		$60.09	$108.44	$177.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $48.49 / $59.13	Professional		$42.92	$48.49	$59.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $101.18 / $126.48	Professional		$66.89	$101.18	$126.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $97.55 / $110.12	Professional		$55.74	$97.55	$110.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $72.45 / $150.63	Facility		$55.74	$72.45	$150.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $58.00 / $221.06	Professional		$33.44	$58.00	$221.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $102.21 / $150.63	Facility		$66.89	$102.21	$150.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $100.33 / $145.47	Professional		$66.89	$100.33	$145.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $55.74 / $99.50	Professional		$54.24	$55.74	$99.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $121.51	Professional		$33.44	$33.44	$121.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $55.74 / $55.74	Professional		$55.74	$55.74	$55.74