Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $68.27 / $149.13	Facility		$37.83	$68.27	$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 / $63.51 / $178.09	Professional		$35.09	$63.51	$178.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $54.36 / $110.01	Facility		$35.09	$54.36	$110.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $42.14 / $185.79	Professional		$21.05	$42.14	$185.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $71.48 / $110.01	Facility		$42.11	$71.48	$110.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $72.29 / $102.92	Professional		$42.14	$72.29	$102.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $86.60 / $86.60 / $86.60	Facility		$86.60	$86.60	$86.60
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