Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $56.39 / $78.88	Facility		$31.25	$56.39	$78.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $22.32 / $33.57	Professional		$19.19	$22.32	$33.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $44.39 / $55.49	Professional		$27.44	$44.39	$55.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $20.65 / $437.84	Professional		$13.66	$20.65	$437.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $31.46 / $248.32	Facility		$22.32	$31.46	$248.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $18.50 / $206.17	Professional		$9.78	$18.50	$206.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $40.54 / $72.23	Facility		$27.26	$40.54	$72.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $44.66 / $76.44	Professional		$27.26	$44.66	$76.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $18.46 / $31.69	Professional		$9.78	$18.46	$31.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $20.10 / $23.70	Professional		$15.88	$20.10	$23.70