Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $32.77 / $35.72	Facility		$32.77	$32.77	$35.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $15.98 / $17.82	Professional		$14.14	$15.98	$17.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $22.04 / $23.70	Professional		$21.06	$22.04	$23.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $24.80 / $32.15	Professional		$15.61	$24.80	$32.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $23.70 / $87.26	Facility		$14.14	$23.70	$87.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $18.92 / $91.48	Professional		$11.02	$18.92	$91.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $23.88 / $40.26	Facility		$22.04	$23.88	$40.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $32.15 / $43.00	Professional		$22.04	$32.15	$43.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $18.37 / $32.79	Professional		$18.37	$18.37	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.02 / $46.46	Professional		$11.02	$11.02	$46.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $18.37 / $18.37	Professional		$18.37	$18.37	$18.37