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 $38.60 / $61.41 / $143.02	Professional		$38.60	$61.41	$143.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $47.22 / $96.74	Facility		$35.09	$47.22	$96.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $36.14 / $175.45	Professional		$21.05	$36.14	$175.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $71.48 / $100.38	Facility		$42.11	$71.48	$100.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $71.48 / $96.74	Professional		$42.14	$71.48	$96.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $41.06 / $71.58	Professional		$34.14	$41.06	$71.58
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $88.74	Professional		$21.05	$21.05	$88.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09