Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $68.09 / $95.24	Facility		$37.72	$68.09	$95.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $30.45 / $225.05	Professional		$26.95	$30.45	$225.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $63.32 / $79.15	Professional		$42.03	$63.32	$79.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $61.25 / $176.82	Professional		$38.50	$61.25	$176.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $45.17 / $80.50	Facility		$35.00	$45.17	$80.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $35.00 / $112.95	Professional		$21.00	$35.00	$112.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $64.17 / $77.78	Facility		$42.00	$64.17	$77.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $64.17 / $76.70	Professional		$42.00	$64.17	$76.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $62.48	Professional		$35.00	$35.00	$62.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $71.66	Professional		$21.00	$21.00	$71.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00