Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $66.07 / $102.33	Facility		$26.92	$66.07	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $60.26	Professional		$23.99	$30.20	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $83.18	Professional		$45.71	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $69.18 / $100.00	Professional		$35.48	$69.18	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $48.98 / $109.65	Facility		$35.48	$48.98	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $194.98	Professional		$20.89	$45.71	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $45.71	Professional		$41.69	$41.69	$45.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $74.13	Professional		$33.88	$38.02	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $81.28	Facility		$35.48	$35.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $95.50	Professional		$20.89	$21.88	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48