Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $30.88 / $75.79	Facility		$20.50	$30.88	$75.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $17.82 / $109.65	Professional		$13.73	$17.82	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $49.77 / $51.22	Facility		$48.32	$49.77	$51.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $33.95 / $42.43	Professional		$21.41	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.20 / $101.04	Professional		$17.82	$31.20	$101.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $31.74 / $82.66	Facility		$17.82	$31.74	$82.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $17.82 / $48.26	Professional		$10.70	$17.82	$48.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $29.11 / $52.54	Facility		$17.05	$29.11	$52.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $32.47 / $48.77	Professional		$20.57	$32.47	$48.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $130.16	Facility		$130.16	$130.16	$130.16
United Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Facility		$17.82	$17.82	$17.82
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.95 / $43.19	Professional		$10.70	$14.95	$43.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $17.82 / $17.82	Professional		$14.09	$17.82	$17.82