Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $57.54 / $144.54	Facility		$40.74	$57.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $151.36	Professional		$26.92	$34.67	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $83.18	Professional		$45.71	$69.18	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $104.71	Professional		$26.92	$41.69	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $89.13	Facility		$30.90	$60.26	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $323.59	Professional		$35.48	$64.57	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $91.20	Professional		$60.26	$75.86	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $79.43	Professional		$69.18	$69.18	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $67.61	Professional		$29.51	$53.70	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $91.20	Professional		$33.11	$54.95	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $67.61	Professional		$45.71	$57.54	$67.61