Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.68 / $151.47 / $203.00	Facility		$58.68	$151.47	$203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $82.27 / $292.00	Professional		$28.13	$82.27	$292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $85.09 / $125.47	Professional		$59.47	$85.09	$125.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $46.30 / $181.99	Professional		$33.34	$46.30	$181.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $86.32 / $170.21	Facility		$43.24	$86.32	$170.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $93.57 / $568.04	Professional		$47.73	$93.57	$568.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $86.49 / $136.00	Facility		$78.53	$86.49	$136.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $93.57 / $137.05	Professional		$69.03	$93.57	$137.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $61.19 / $69.98	Professional		$34.28	$61.19	$69.98
United Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $84.09 / $121.53	Professional		$41.02	$84.09	$121.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $71.40 / $84.00	Professional		$56.41	$71.40	$84.00