Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $108.28 / $460.41	Facility		$40.86	$108.28	$460.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $35.27 / $52.52	Professional		$24.92	$35.27	$52.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $62.81 / $109.64	Professional		$43.06	$62.81	$109.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $42.08 / $331.40	Professional		$23.71	$42.08	$331.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.27 / $83.30 / $794.51	Facility		$35.27	$83.30	$794.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $64.54 / $1,180.70	Professional		$29.56	$64.54	$1,180.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $61.69 / $90.00	Facility		$48.31	$61.69	$90.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $63.11 / $98.64	Professional		$44.55	$63.11	$98.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $41.50 / $49.24	Professional		$24.41	$41.50	$49.24
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $56.72 / $112.02	Professional		$28.15	$56.72	$112.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $50.00 / $58.90	Professional		$39.50	$50.00	$58.90