Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $56.99 / $56.99	Facility		$56.99	$56.99	$56.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $59.74 / $141.19	Professional		$35.99	$59.74	$141.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $71.18 / $88.98	Professional		$42.46	$71.18	$88.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.72 / $133.28	Professional		$37.15	$52.72	$133.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $61.84 / $81.25	Facility		$36.59	$61.84	$81.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $65.16 / $324.60	Professional		$42.73	$65.16	$324.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $77.06 / $81.25	Facility		$57.74	$77.06	$81.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $75.66 / $97.26	Professional		$53.54	$75.66	$97.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $65.63 / $73.65	Professional		$36.77	$65.63	$73.65
United Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $48.88 / $94.58	Professional		$42.29	$48.88	$94.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $55.70 / $67.50	Professional		$51.82	$55.70	$67.50