Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $75.86 / $75.86	Facility		$36.31	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $125.89	Professional		$33.88	$61.66	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $72.44 / $91.20	Professional		$46.77	$72.44	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.13 / $138.04	Professional		$37.15	$89.13	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $81.28	Facility		$35.48	$58.88	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $323.59	Professional		$41.69	$67.61	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $95.50	Professional		$57.54	$81.28	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $91.20	Professional		$75.86	$91.20	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $81.28	Professional		$35.48	$64.57	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $93.33	Professional		$40.74	$48.98	$93.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $67.61	Professional		$51.29	$61.66	$67.61