Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $45.79 / $75.18	Facility		$45.79	$45.79	$75.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.68 / $4,520.39	Professional		$33.88	$42.68	$4,520.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.25 / $45.82	Professional		$33.88	$39.25	$45.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $43.65 / $75.09	Professional		$28.63	$43.65	$75.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $45.79 / $70.38	Facility		$34.47	$45.79	$70.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $155.61	Professional		$34.47	$34.47	$155.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $52.88 / $75.79	Facility		$41.37	$52.88	$75.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $45.24 / $75.01	Professional		$41.37	$45.24	$75.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $67.14 / $72.14	Professional		$48.70	$67.14	$72.14
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.94	Professional		$33.88	$33.88	$35.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $34.47 / $34.47	Facility		$34.47	$34.47	$34.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $34.47 / $34.47	Professional		$27.24	$34.47	$34.47