Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $83.18 / $125.89	Facility		$33.11	$83.18	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $41.69	Professional		$19.95	$33.11	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $104.71	Professional		$83.18	$83.18	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $151.36	Professional		$37.15	$58.88	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $52.48 / $100.00	Facility		$43.65	$52.48	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $173.78	Professional		$26.30	$43.65	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $93.33	Professional		$43.65	$46.77	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $100.00	Facility		$43.65	$43.65	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $109.65	Professional		$26.30	$26.30	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65