Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $58.41 / $85.22	Facility		$32.36	$58.41	$85.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $26.13 / $29.13	Professional		$19.82	$26.13	$29.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $54.84 / $68.54	Professional		$36.04	$54.84	$68.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $50.44 / $127.56	Professional		$30.03	$50.44	$127.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $39.02 / $74.01	Facility		$30.03	$39.02	$74.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $30.93 / $106.19	Professional		$17.55	$30.93	$106.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $50.00 / $72.20	Facility		$36.04	$50.00	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $49.27 / $72.20	Professional		$34.39	$49.27	$72.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $30.03 / $53.60	Professional		$29.22	$30.03	$53.60
United Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $18.02 / $56.02	Professional		$18.02	$18.02	$56.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Professional		$30.03	$30.03	$30.03