Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $50.40 / $70.50	Facility		$27.93	$50.40	$70.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $19.95 / $30.04	Professional		$17.14	$19.95	$30.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $39.82 / $52.69	Professional		$24.52	$39.82	$52.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $27.54 / $175.39	Professional		$18.23	$27.54	$175.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $31.52 / $81.00	Facility		$19.95	$31.52	$81.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $16.54 / $184.46	Professional		$11.11	$16.54	$184.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $51.12 / $67.80	Facility		$24.19	$51.12	$67.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $43.00 / $68.39	Professional		$24.19	$43.00	$68.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $28.70 / $28.70	Professional		$28.70	$28.70	$28.70
United Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $16.50 / $37.28	Professional		$11.15	$16.50	$37.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $24.50 / $28.90	Professional		$19.36	$24.50	$28.90