Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $83.83 / $172.12	Facility		$35.09	$83.83	$172.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $44.66 / $199.00	Professional		$27.02	$44.66	$199.00
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 / $127.39	Professional		$38.60	$61.41	$127.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $53.98 / $114.27	Facility		$35.09	$53.98	$114.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $40.35 / $175.45	Professional		$21.05	$40.35	$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 Facility Modifier Low / Median / High Price $61.70 / $147.30 / $254.43	Facility		$61.70	$147.30	$254.43
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 / $21.76 / $154.13	Professional		$21.05	$21.76	$154.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09