Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $77.45 / $140.71	Facility		$34.76	$77.45	$140.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $25.23 / $185.00	Professional		$21.63	$25.23	$185.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $59.40 / $74.26	Professional		$37.58	$59.40	$74.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $49.16 / $70.50	Professional		$36.04	$49.16	$70.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $39.36 / $92.39	Facility		$29.42	$39.36	$92.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $32.77 / $75.37	Professional		$13.25	$32.77	$75.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $44.74 / $71.81	Facility		$29.49	$44.74	$71.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $46.75 / $83.56	Professional		$39.32	$46.75	$83.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $165.54 / $165.54 / $165.54	Facility		$165.54	$165.54	$165.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $19.66 / $60.62	Professional		$13.25	$19.66	$60.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $32.77 / $32.77	Professional		$25.89	$32.77	$32.77