Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $812.83	Facility		$33.11	$41.69	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $380.19 / $1,548.82	Professional		$15.85	$380.19	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $125.89	Professional		$28.84	$63.10	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $102.33	Professional		$28.18	$38.02	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $50.12 / $138.04	Facility		$25.70	$50.12	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $48.98 / $478.63	Professional		$20.42	$48.98	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $87.10	Professional		$63.10	$63.10	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $48.98	Professional		$20.89	$38.02	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $104.71	Professional		$20.42	$22.39	$104.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $47.86	Professional		$40.74	$47.86	$47.86