Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $62.08 / $81.06	Facility		$55.92	$62.08	$81.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $98.67	Professional		$36.67	$36.67	$98.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $44.77 / $65.26	Professional		$36.67	$44.77	$65.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $46.72 / $150.00	Professional		$36.67	$46.72	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $62.08 / $89.00	Facility		$37.04	$62.08	$89.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $41.24 / $1,379.87	Professional		$37.04	$41.24	$1,379.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $58.58 / $72.06	Facility		$42.96	$58.58	$72.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $60.84 / $82.90	Professional		$51.73	$60.84	$82.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $69.09 / $180.20	Professional		$36.67	$69.09	$180.20
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.77 / $44.00	Professional		$36.67	$37.77	$44.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $40.54 / $40.54	Professional		$32.03	$40.54	$40.54