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 / $74.04	Professional		$29.49	$47.00	$74.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $50.96 / $155.90	Professional		$33.71	$50.96	$155.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $35.04 / $195.37	Facility		$23.98	$35.04	$195.37
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 / $43.59 / $92.26	Facility		$29.17	$43.59	$92.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $48.40 / $84.30	Professional		$29.17	$48.40	$84.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $166.79 / $180.34	Professional		$34.60	$166.79	$180.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $19.84 / $64.70	Professional		$11.45	$19.84	$64.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $59.40 / $59.40	Professional		$46.93	$59.40	$59.40