Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $60.59 / $84.75	Facility		$33.57	$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 / $62.65	Professional		$29.49	$47.00	$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 $22.53 / $30.73 / $248.32	Facility		$22.53	$30.73	$248.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $19.84 / $221.32	Professional		$11.50	$19.84	$221.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $42.85 / $80.56	Facility		$29.17	$42.85	$80.56
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 / $34.60 / $34.60	Professional		$34.60	$34.60	$34.60
United Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $19.84 / $41.33	Professional		$11.52	$19.84	$41.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $29.40 / $34.60	Professional		$23.23	$29.40	$34.60