Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $79.18 / $113.79	Facility		$43.88	$79.18	$113.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $35.40 / $39.47	Professional		$26.86	$35.40	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $73.77 / $92.21	Professional		$48.89	$73.77	$92.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $66.12 / $90.93	Professional		$40.70	$66.12	$90.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $52.52 / $98.72	Facility		$40.70	$52.52	$98.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $48.89 / $141.77	Professional		$37.40	$48.89	$141.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.89 / $73.26 / $98.72	Facility		$48.89	$73.26	$98.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $73.15 / $98.72	Professional		$48.89	$73.15	$98.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $40.70 / $72.65	Professional		$39.60	$40.70	$72.65
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $40.70 / $115.85	Professional		$37.40	$40.70	$115.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Professional		$40.70	$40.70	$40.70