Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $68.27 / $95.49	Facility		$37.83	$68.27	$95.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $30.53 / $198.40	Professional		$27.02	$30.53	$198.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $42.11 / $45.47	Professional		$36.38	$42.11	$45.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $61.41 / $100.95	Professional		$38.60	$61.41	$100.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $42.14 / $91.23	Facility		$35.09	$42.14	$91.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $35.09 / $175.45	Professional		$21.05	$35.09	$175.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $53.29 / $91.23	Facility		$42.11	$53.29	$91.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $57.68 / $91.58	Professional		$42.14	$57.68	$91.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $61.70 / $61.70	Facility		$61.70	$61.70	$61.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $35.09 / $62.64	Professional		$34.14	$35.09	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $85.00	Professional		$21.05	$21.05	$85.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09