Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $82.14	Facility		$75.34	$75.34	$82.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $36.72 / $40.95	Professional		$32.51	$36.72	$40.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $48.73 / $77.41	Professional		$12.94	$48.73	$77.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $42.22 / $73.89	Professional		$26.10	$42.22	$73.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $32.51 / $107.25	Facility		$16.43	$32.51	$107.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $43.49 / $468.52	Professional		$16.62	$43.49	$468.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $54.89 / $86.97	Facility		$18.11	$54.89	$86.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $54.89 / $86.97	Professional		$18.11	$54.89	$86.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $49.40 / $86.13	Professional		$41.08	$49.40	$86.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $42.22 / $92.04	Professional		$42.22	$42.22	$92.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $42.22 / $42.22	Professional		$42.22	$42.22	$42.22