Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $54.08 / $94.60	Facility		$51.80	$54.08	$94.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $51.20 / $196.39	Professional		$37.58	$51.20	$196.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $67.53 / $88.14	Professional		$40.04	$67.53	$88.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $53.46 / $185.07	Professional		$33.67	$53.46	$185.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $80.47 / $106.32	Facility		$36.10	$80.47	$106.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $87.74 / $330.34	Professional		$57.61	$87.74	$330.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $75.70 / $136.88	Facility		$52.40	$75.70	$136.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $80.47 / $136.88	Professional		$54.83	$80.47	$136.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $90.40 / $132.30	Professional		$50.68	$90.40	$132.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $62.84 / $121.60	Professional		$54.56	$62.84	$121.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $45.50 / $53.50	Professional		$40.36	$45.50	$53.50