Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $56.16 / $183.15	Facility		$56.16	$56.16	$183.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $109.28	Professional		$40.65	$41.06	$109.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $43.20 / $54.09	Professional		$40.65	$43.20	$54.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $56.92 / $80.27	Professional		$40.65	$56.92	$80.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $58.00 / $183.69	Facility		$41.20	$58.00	$183.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $82.40	Professional		$41.20	$41.20	$82.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $50.26 / $62.41	Facility		$43.02	$50.26	$62.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $49.44 / $62.41	Professional		$39.67	$49.44	$62.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $71.77 / $72.56	Professional		$57.80	$71.77	$72.56
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $44.72	Professional		$40.65	$40.65	$44.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $41.20 / $41.20	Professional		$32.54	$41.20	$41.20