Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $52.89 / $73.45	Facility		$33.15	$52.89	$73.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $49.01 / $131.00	Professional		$32.99	$49.01	$131.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $46.21 / $124.65 / $144.66	Professional	25	$46.21	$124.65	$144.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $85.78 / $107.23	Professional		$45.99	$85.78	$107.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $60.09 / $117.39	Professional		$45.49	$60.09	$117.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $70.87 / $97.84	Facility		$43.98	$70.87	$97.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $66.59 / $350.74	Professional		$41.62	$66.59	$350.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $72.20 / $97.84	Facility		$58.83	$72.20	$97.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $71.75 / $99.73	Professional		$48.00	$71.75	$99.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $66.50 / $89.91	Professional		$41.80	$66.50	$89.91
United Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $48.75 / $87.86	Professional		$40.32	$48.75	$87.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $68.40 / $82.90	Professional		$63.52	$68.40	$82.90