Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $48.98	Professional		$25.12	$39.81	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $69.18	Professional		$43.65	$54.95	$69.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $97.72 / $109.65	Professional		$33.11	$97.72	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $58.88 / $89.13	Facility		$37.15	$58.88	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $338.84	Professional		$50.12	$72.44	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $131.83	Professional		$52.48	$69.18	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Professional		$77.62	$77.62	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $93.33	Professional		$72.44	$75.86	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $102.33	Professional		$41.69	$60.26	$102.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $58.88	Professional		$45.71	$53.70	$58.88