Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $41.34 / $92.07	Facility		$41.34	$41.34	$92.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $42.16 / $85.91	Professional		$41.34	$42.16	$85.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $42.31 / $60.06	Professional		$41.89	$42.31	$60.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $42.16 / $79.66	Professional		$29.21	$42.16	$79.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $43.11 / $70.73	Facility		$41.34	$43.11	$70.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $46.59 / $4,110.43	Professional		$41.85	$46.59	$4,110.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.49 / $61.66 / $74.81	Facility		$48.49	$61.66	$74.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $51.09 / $62.78	Professional		$43.72	$51.09	$62.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $83.55 / $88.07	Professional		$42.19	$83.55	$88.07
United Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $67.83 / $67.83	Facility		$67.83	$67.83	$67.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $44.27 / $50.59	Professional		$42.16	$44.27	$50.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $45.80 / $45.80 / $45.80	Facility		$45.80	$45.80	$45.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $45.80 / $45.80	Professional		$36.18	$45.80	$45.80