Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $82.95 / $149.13	Facility		$40.35	$82.95	$149.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $30.53 / $34.04	Professional		$23.16	$30.53	$34.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $63.32 / $79.15	Professional		$42.14	$63.32	$79.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $61.41 / $144.44	Professional		$35.09	$61.41	$144.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $54.36 / $108.30	Facility		$35.09	$54.36	$108.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $42.11 / $185.79	Professional		$21.05	$42.11	$185.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $71.48 / $108.30	Facility		$42.11	$71.48	$108.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $71.48 / $102.92	Professional		$42.14	$71.48	$102.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $35.09 / $62.64	Professional		$34.14	$35.09	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $85.00	Professional		$21.05	$21.05	$85.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09