Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $165.89 / $170.87	Facility		$42.67	$165.89	$170.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.75 / $165.89	Professional		$20.35	$20.75	$165.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $28.93 / $81.25	Professional		$20.35	$28.93	$81.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $36.83 / $283.39	Professional		$20.35	$36.83	$283.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $51.32 / $173.52	Facility		$28.27	$51.32	$173.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $31.47 / $573.77	Professional		$28.27	$31.47	$573.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $71.38 / $123.53	Facility		$30.72	$71.38	$123.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $60.25 / $182.18	Professional		$30.72	$60.25	$182.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $40.83 / $46.60	Professional		$27.40	$40.83	$46.60
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.96 / $24.22	Professional		$20.35	$20.96	$24.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Facility		$30.94	$30.94	$30.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $30.94 / $30.94	Professional		$24.44	$30.94	$30.94