Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $91.20 / $165.96	Facility		$41.69	$91.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $58.88 / $147.91	Professional		$26.30	$58.88	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $85.11 / $114.82	Professional		$35.48	$85.11	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $123.03	Facility		$35.48	$67.61	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $194.98	Professional		$35.48	$51.29	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $61.66	Professional		$33.88	$38.02	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $81.28	Facility		$35.48	$35.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Professional		$35.48	$35.48	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48