Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $57.58 / $80.54	Facility		$29.60	$57.58	$80.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $22.79 / $28.71	Professional		$19.54	$22.79	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $54.18 / $67.73	Professional		$35.52	$54.18	$67.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $44.40 / $151.30	Professional		$32.56	$44.40	$151.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $38.20 / $75.78	Facility		$29.60	$38.20	$75.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $29.60 / $129.38	Professional		$17.76	$29.60	$129.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $60.98 / $92.84	Facility		$35.52	$60.98	$92.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $62.62 / $75.48	Professional		$35.52	$62.62	$75.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $29.60 / $52.84	Professional		$28.80	$29.60	$52.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $17.76 / $71.70	Professional		$17.76	$17.76	$71.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Professional		$29.60	$29.60	$29.60