Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $60.59 / $84.75	Facility		$27.38	$60.59	$84.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $23.98 / $36.04	Professional		$20.62	$23.98	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $47.00 / $65.50	Professional		$29.49	$47.00	$65.50
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 $23.67 / $33.45 / $68.45	Facility		$23.67	$33.45	$68.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $19.84 / $252.68	Professional		$11.86	$19.84	$252.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $45.00 / $83.94	Facility		$29.17	$45.00	$83.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $48.40 / $81.23	Professional		$29.17	$48.40	$81.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $68.44 / $74.34	Professional		$34.60	$68.44	$74.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $19.84 / $34.04	Professional		$11.86	$19.84	$34.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $31.00 / $36.40	Professional		$24.49	$31.00	$36.40