Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $39.19 / $40.36	Facility		$39.19	$39.19	$40.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $39.19	Professional		$31.35	$31.35	$39.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $52.97 / $64.53	Professional		$42.38	$52.97	$64.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $198.20 / $232.40	Professional		$36.42	$198.20	$232.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $52.98 / $215.99	Facility		$39.19	$52.98	$215.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $102.13	Professional		$32.65	$32.65	$102.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.16 / $81.36 / $150.57	Facility		$51.16	$81.36	$150.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $81.36 / $218.60	Professional		$51.16	$81.36	$218.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.19 / $248.31 / $263.47	Professional		$233.19	$248.31	$263.47
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $34.65	Professional		$32.65	$32.65	$34.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $67.73 / $67.73	Professional		$53.51	$67.73	$67.73