Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $77.62 / $117.49	Facility		$30.90	$77.62	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $61.66	Professional		$25.70	$33.88	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $97.72	Professional		$60.26	$77.62	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $102.33	Professional		$44.67	$66.07	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $52.48 / $97.72	Facility		$40.74	$52.48	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $144.54	Professional		$37.15	$58.88	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $52.48	Professional		$48.98	$48.98	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $87.10	Professional		$39.81	$43.65	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $93.33	Facility		$40.74	$40.74	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $95.50	Professional		$37.15	$40.74	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74