Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $77.62	Facility		$61.66	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $83.18	Professional		$61.66	$64.57	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $57.54	Professional		$31.62	$39.81	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $87.10 / $151.36	Professional		$27.54	$87.10	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $77.62 / $104.71	Facility		$27.54	$77.62	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $112.20	Professional		$57.54	$64.57	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $58.88 / $91.20	Professional		$20.89	$58.88	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $63.10 / $63.10	Professional		$20.89	$63.10	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $169.82	Professional		$128.82	$144.54	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.06 / $67.61	Facility		$0.06	$0.06	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $77.62	Professional		$64.57	$64.57	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $17.38	Professional		$13.80	$17.38	$17.38