Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $76.86 / $107.61	Facility		$76.86	$76.86	$107.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $70.16 / $80.00	Professional		$61.49	$70.16	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $39.84 / $57.74	Professional		$31.88	$39.84	$57.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $99.00 / $150.00	Professional		$27.44	$99.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $76.76 / $103.78	Facility		$27.84	$76.76	$103.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $64.05 / $111.54	Professional		$58.24	$64.05	$111.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $59.12 / $91.36	Facility		$57.74	$59.12	$91.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $59.02 / $91.36	Professional		$20.78	$59.02	$91.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $146.25 / $155.15	Professional		$137.47	$146.25	$155.15
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $67.95	Professional		$64.05	$64.05	$67.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $17.30 / $17.30	Professional		$13.67	$17.30	$17.30