Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.70 / $37.15	Facility		$19.05	$25.70	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $54.95	Professional		$21.88	$34.67	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $181.97	Professional		$54.95	$87.10	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $138.04	Professional		$35.48	$52.48	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $40.74 / $83.18	Facility		$26.30	$40.74	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $323.59	Professional		$47.86	$81.28	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $109.65	Professional		$54.95	$81.28	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $117.49	Professional		$46.77	$79.43	$117.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $56.23	Professional		$48.98	$50.12	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $91.20	Professional		$34.67	$53.70	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $77.62	Professional		$51.29	$61.66	$77.62