Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $102.33 / $524.81	Facility		$35.48	$102.33	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $60.26 / $269.15	Professional		$25.70	$60.26	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $83.18	Professional		$45.71	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $93.33	Professional		$35.48	$61.66	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $53.70 / $128.82	Facility		$35.48	$53.70	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $47.86 / $251.19	Professional		$20.89	$47.86	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $257.04	Professional		$41.69	$45.71	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $74.13	Professional		$33.88	$38.02	$74.13
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 $20.89 / $21.88 / $95.50	Professional		$20.89	$21.88	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48