Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $97.72	Facility		$26.92	$53.70	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $53.70	Professional		$23.99	$30.20	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $83.18	Professional		$45.71	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $87.10 / $177.83	Professional		$35.48	$87.10	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $48.98 / $109.65	Facility		$35.48	$48.98	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $194.98	Professional		$20.89	$45.71	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $45.71	Professional		$41.69	$41.69	$45.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $81.28	Facility		$35.48	$35.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $95.50	Professional		$20.89	$21.88	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48