Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $100.77 / $4,300.70	Facility		$67.88	$100.77	$4,300.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $47.19 / $181.00	Professional		$36.00	$47.19	$181.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $89.78 / $108.45	Professional		$40.15	$89.78	$108.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $56.27 / $192.93	Professional		$38.32	$56.27	$192.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $60.32 / $95.97	Facility		$38.99	$60.32	$95.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $95.23 / $247.05	Professional		$55.86	$95.23	$247.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $89.78 / $101.48	Facility		$74.52	$89.78	$101.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $91.33 / $104.74	Professional		$74.52	$91.33	$104.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $60.87 / $71.81	Professional		$34.52	$60.87	$71.81
United Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $81.02 / $107.93	Professional		$45.63	$81.02	$107.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $75.40 / $88.70	Professional		$59.57	$75.40	$88.70