Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $102.33 / $338.84	Facility		$33.11	$102.33	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $275.42	Professional		$32.36	$40.74	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $102.33	Professional		$54.95	$81.28	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $104.71 / $407.38	Professional		$42.66	$104.71	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $134.90	Facility		$42.66	$63.10	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $56.23 / $239.88	Professional		$25.70	$56.23	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $54.95	Professional		$51.29	$51.29	$54.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $97.72	Facility		$42.66	$42.66	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.30 / $117.49	Professional		$25.70	$26.30	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66