Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $51.68 / $66.34	Facility		$51.68	$51.68	$66.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $43.09 / $120.00	Professional		$34.96	$43.09	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $59.63 / $74.53	Professional		$55.39	$59.63	$74.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $54.48 / $93.12	Professional		$51.45	$54.48	$93.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $66.36 / $183.55	Facility		$43.09	$66.36	$183.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $31.57 / $127.74	Professional		$24.76	$31.57	$127.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $58.63 / $107.00	Facility		$56.44	$58.63	$107.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $66.11 / $107.00	Professional		$56.44	$66.11	$107.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $69.59 / $100.00	Professional		$49.86	$69.59	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $25.66 / $44.05	Professional		$24.38	$25.66	$44.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $46.31 / $46.31	Facility		$46.31	$46.31	$46.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $46.31 / $46.31	Professional		$36.58	$46.31	$46.31