Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $81.25 / $177.43	Facility		$45.02	$81.25	$177.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $36.33 / $59.13	Professional		$32.15	$36.33	$59.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $75.72 / $94.66	Professional		$50.15	$75.72	$94.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $75.59 / $111.56	Professional		$41.76	$75.59	$111.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $64.47 / $130.91	Facility		$41.76	$64.47	$130.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $50.15 / $221.06	Professional		$25.06	$50.15	$221.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $85.07 / $130.91	Facility		$50.11	$85.07	$130.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $86.03 / $122.46	Professional		$50.15	$86.03	$122.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $41.76 / $74.54	Professional		$40.63	$41.76	$74.54
United Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $96.05	Facility		$41.76	$41.76	$96.05
United Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $101.15	Professional		$25.06	$25.06	$101.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $41.76 / $41.76	Professional		$41.76	$41.76	$41.76