Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $79.43 / $114.82	Facility		$32.36	$79.43	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $64.57	Professional		$30.20	$38.90	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $100.00	Professional		$53.70	$79.43	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $109.65	Professional		$41.69	$81.28	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $128.82	Facility		$41.69	$58.88	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $234.42	Professional		$25.12	$53.70	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $53.70	Professional		$50.12	$50.12	$53.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $89.13	Professional		$40.74	$44.67	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $95.50	Facility		$41.69	$41.69	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $114.82	Professional		$25.12	$25.70	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69