Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $91.20 / $141.25	Facility		$37.15	$91.20	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $60.26	Professional		$30.90	$40.74	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $114.82	Professional		$61.66	$93.33	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $112.20	Professional		$47.86	$87.10	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $61.66 / $125.89	Facility		$47.86	$61.66	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $194.98	Professional		$28.84	$57.54	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $61.66	Professional		$57.54	$57.54	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $102.33	Professional		$46.77	$52.48	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $112.20	Facility		$47.86	$47.86	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $123.03	Professional		$28.84	$28.84	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86