Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $78.48 / $85.55	Facility		$78.48	$78.48	$85.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $42.65 / $42.65	Professional		$42.65	$42.65	$42.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $46.98 / $71.20	Professional		$23.12	$46.98	$71.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $56.35 / $76.95	Professional		$43.97	$56.35	$76.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $49.94 / $208.86	Facility		$28.76	$49.94	$208.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $45.29 / $219.85	Professional		$26.17	$45.29	$219.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $52.76 / $73.95	Facility		$27.51	$52.76	$73.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $57.16 / $114.32	Professional		$30.81	$57.16	$114.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $43.97 / $78.48	Professional		$42.78	$43.97	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $26.38 / $95.85	Professional		$26.38	$26.38	$95.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $43.97 / $43.97	Professional		$43.97	$43.97	$43.97