Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.08 / $84.97 / $170.46	Facility		$47.08	$84.97	$170.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $37.99 / $63.89	Professional		$33.63	$37.99	$63.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $79.64 / $99.55	Professional		$52.40	$79.64	$99.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $79.04 / $150.00	Professional		$43.67	$79.04	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $61.93 / $124.84	Facility		$43.67	$61.93	$124.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $49.13 / $224.92	Professional		$26.20	$49.13	$224.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $81.70 / $136.91	Facility		$52.40	$81.70	$136.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $81.70 / $117.65	Professional		$52.40	$81.70	$117.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $43.67 / $77.95	Professional		$42.49	$43.67	$77.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $97.16	Professional		$26.20	$26.20	$97.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $43.67	Professional		$43.67	$43.67	$43.67