Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $26.72 / $31.75	Professional		$14.32	$26.72	$31.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $55.03 / $56.64	Facility		$53.43	$55.03	$56.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $45.75 / $57.19	Professional		$34.25	$45.75	$57.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $67.48 / $118.98	Professional		$13.07	$67.48	$118.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $44.80 / $165.02	Facility		$30.82	$44.80	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $21.22 / $200.67	Professional		$8.25	$21.22	$200.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $41.98 / $56.64	Facility		$30.32	$41.98	$56.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $35.26 / $52.34	Professional		$27.71	$35.26	$52.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $62.35 / $66.15	Professional		$58.39	$62.35	$66.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $19.44 / $32.29	Professional		$9.48	$19.44	$32.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $20.90 / $24.60	Professional		$16.51	$20.90	$24.60