Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $48.77 / $150.00	Facility		$47.91	$48.77	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $25.22 / $112.48	Professional		$17.23	$25.22	$112.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $46.07 / $92.00	Professional		$31.72	$46.07	$92.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $28.18 / $206.93	Professional		$17.03	$28.18	$206.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $44.47 / $150.47	Facility		$19.29	$44.47	$150.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $50.20 / $371.24	Professional		$29.86	$50.20	$371.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.89 / $43.72 / $79.51	Facility		$36.89	$43.72	$79.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $46.07 / $117.31	Professional		$36.24	$46.07	$117.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $30.31 / $36.95	Professional		$17.07	$30.31	$36.95
United Facility/Professional Facility Modifier Low / Median / High Price $166.10 / $271.77 / $331.04	Facility		$166.10	$271.77	$331.04
United Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $44.41 / $130.01	Professional		$21.46	$44.41	$130.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $37.40 / $44.00	Professional		$29.55	$37.40	$44.00