Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $97.83 / $350.61	Facility		$52.77	$97.83	$350.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $39.77 / $140.00	Professional		$31.37	$39.77	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $76.53 / $136.38	Professional		$44.41	$76.53	$136.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $45.88 / $143.88	Professional		$30.57	$45.88	$143.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $72.33 / $100.96	Facility		$45.54	$72.33	$100.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $65.92 / $324.60	Professional		$34.53	$65.92	$324.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $73.45 / $84.15	Facility		$63.55	$73.45	$84.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $71.31 / $88.87	Professional		$49.50	$71.31	$88.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $46.90 / $97.50	Professional		$46.90	$46.90	$97.50
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $49.14 / $89.15	Professional		$32.96	$49.14	$89.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $70.09 / $82.40	Professional		$55.38	$70.09	$82.40