Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $81.28 / $123.03	Facility		$32.36	$81.28	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $66.07	Professional		$28.84	$38.02	$66.07
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 / $151.36	Professional		$42.66	$104.71	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $131.83	Facility		$42.66	$60.26	$131.83
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 Professional Modifier Low / Median / High Price $41.69 / $46.77 / $91.20	Professional		$41.69	$46.77	$91.20
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