Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $50.29 / $126.08	Facility		$35.90	$50.29	$126.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $39.51	Professional		$35.92	$35.92	$39.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $43.10 / $46.83	Professional		$37.46	$43.10	$46.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $62.86 / $171.16	Professional		$39.51	$62.86	$171.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $48.49 / $93.39	Facility		$35.92	$48.49	$93.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $35.92 / $122.48	Professional		$21.55	$35.92	$122.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.10 / $50.99 / $93.39	Facility		$43.10	$50.99	$93.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $59.06 / $93.80	Professional		$43.10	$59.06	$93.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $64.12	Professional		$35.92	$35.92	$64.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $21.55 / $73.55	Professional		$21.55	$21.55	$73.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92