Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.71 / $238.71 / $238.71	Facility		$238.71	$238.71	$238.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $33.10 / $96.96	Professional		$25.69	$33.10	$96.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $46.58 / $75.01	Professional		$28.57	$46.58	$75.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $32.74 / $77.78	Professional		$26.06	$32.74	$77.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $41.10 / $71.92	Facility		$31.20	$41.10	$71.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $57.99 / $197.08	Professional		$36.22	$57.99	$197.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $54.60 / $76.23	Facility		$41.20	$54.60	$76.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $54.60 / $78.02	Professional		$44.64	$54.60	$78.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $36.43 / $58.44	Professional		$28.65	$36.43	$58.44
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $48.24 / $76.45	Professional		$33.90	$48.24	$76.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $43.50 / $45.40	Professional		$35.86	$43.50	$45.40