Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $115.00 / $295.04	Facility		$62.64	$115.00	$295.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $118.81 / $346.00	Professional		$50.38	$118.81	$346.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $79.58 / $118.95	Professional		$48.80	$79.58	$118.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $50.62 / $140.00	Professional		$42.82	$50.62	$140.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $79.58 / $116.19	Facility		$26.40	$79.58	$116.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $100.20 / $345.93	Professional		$42.12	$100.20	$345.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $79.58 / $128.54	Facility		$63.98	$79.58	$128.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $88.36 / $128.54	Professional		$63.98	$88.36	$128.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $93.19 / $107.20	Professional		$52.21	$93.19	$107.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $86.19 / $145.60	Professional		$38.54	$86.19	$145.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $105.20 / $123.80	Professional		$83.11	$105.20	$123.80