Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $75.14 / $77.39	Facility		$44.68	$75.14	$77.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $75.17	Professional		$23.88	$23.88	$75.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $29.60 / $79.06	Professional		$23.88	$29.60	$79.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $51.93 / $429.60	Professional		$23.88	$51.93	$429.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $54.07 / $84.98	Facility		$29.60	$54.07	$84.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $32.95 / $1,372.11	Professional		$29.60	$32.95	$1,372.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $71.91 / $106.44	Facility		$33.22	$71.91	$106.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $53.23 / $81.86	Professional		$33.22	$53.23	$81.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $49.19 / $62.00	Professional		$30.88	$49.19	$62.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.07 / $28.42	Professional		$23.88	$25.07	$28.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $32.39 / $32.39	Facility		$32.39	$32.39	$32.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $32.39 / $32.39	Professional		$25.59	$32.39	$32.39