Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $76.33 / $144.19	Facility		$47.60	$76.33	$144.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $35.99 / $153.00	Professional		$27.57	$35.99	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $68.70 / $91.29	Professional		$46.06	$68.70	$91.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $37.57 / $96.80	Professional		$27.11	$37.57	$96.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $67.58 / $89.72	Facility		$34.92	$67.58	$89.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $68.26 / $324.60	Professional		$36.50	$68.26	$324.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.52 / $68.72 / $91.29	Facility		$55.52	$68.72	$91.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $68.72 / $82.02	Professional		$49.56	$68.72	$82.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $49.94 / $55.87	Professional		$27.98	$49.94	$55.87
United Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $57.51 / $84.07	Professional		$33.29	$57.51	$84.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $58.10 / $68.30	Professional		$45.90	$58.10	$68.30