Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $93.94 / $198.82	Facility		$40.18	$93.94	$198.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $67.02 / $239.65	Professional		$42.86	$67.02	$239.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $67.89 / $84.86	Professional		$44.72	$67.89	$84.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $65.22 / $147.31	Professional		$37.27	$65.22	$147.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $55.68 / $111.43	Facility		$37.27	$55.68	$111.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $42.98 / $185.79	Professional		$22.36	$42.98	$185.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $65.00 / $111.43	Facility		$44.72	$65.00	$111.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $71.48 / $102.92	Professional		$44.72	$71.48	$102.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $64.15 / $64.15	Facility		$64.15	$64.15	$64.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $37.27 / $66.53	Professional		$36.26	$37.27	$66.53
United Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $85.00	Professional		$22.36	$22.36	$85.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $37.27 / $37.27	Professional		$37.27	$37.27	$37.27