Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $851.14	Facility		$33.11	$81.28	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $56.23 / $134.90	Professional		$22.91	$56.23	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $74.13 / $162.18	Professional		$26.30	$74.13	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $77.62 / $194.98	Professional		$25.12	$77.62	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $66.07 / $141.25	Facility		$28.18	$66.07	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $478.63	Professional		$64.57	$134.90	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $141.25 / $147.91	Professional		$43.65	$141.25	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $229.09	Professional		$58.88	$107.15	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $52.48 / $125.89	Professional		$21.88	$52.48	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $69.18 / $165.96	Professional		$28.84	$69.18	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $97.72	Professional		$33.88	$41.69	$97.72