Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $54.60 / $76.37	Facility		$30.25	$54.60	$76.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.61 / $32.51	Professional		$18.57	$21.61	$32.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $42.43 / $62.65	Professional		$26.57	$42.43	$62.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $40.32 / $92.24	Professional		$26.60	$40.32	$92.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $29.92 / $578.23	Facility		$21.61	$29.92	$578.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $17.87 / $199.62	Professional		$11.45	$17.87	$199.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $41.00 / $78.05	Facility		$26.10	$41.00	$78.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $44.26 / $75.95	Professional		$26.10	$44.26	$75.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.87 / $58.56	Professional		$11.23	$17.87	$58.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $315.20 / $399.00 / $399.00	Professional		$315.20	$399.00	$399.00