Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $117.42 / $506.00	Facility		$20.12	$117.42	$506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $26.10 / $57.37	Professional		$18.82	$26.10	$57.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $56.30 / $56.30	Facility		$56.30	$56.30	$56.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $44.70 / $80.00	Professional		$20.00	$44.70	$80.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $33.65 / $82.40	Professional		$21.85	$33.65	$82.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $35.09 / $61.26	Facility		$23.67	$35.09	$61.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $50.52 / $408.25	Professional		$28.15	$50.52	$408.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $56.92 / $67.84	Facility		$49.56	$56.92	$67.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $53.88 / $70.04	Professional		$39.27	$53.88	$70.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Facility		$97.66	$97.66	$97.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $40.00 / $51.94	Professional		$23.68	$40.00	$51.94
United Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $42.05 / $71.88	Professional		$25.80	$42.05	$71.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $32.39 / $41.00	Professional		$27.20	$32.39	$41.00