Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $39.01 / $85.22	Facility		$21.62	$39.01	$85.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $17.44 / $19.45	Professional		$13.23	$17.44	$19.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $36.56 / $45.70	Professional		$24.08	$36.56	$45.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $36.29 / $71.98	Professional		$20.05	$36.29	$71.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $31.18 / $62.86	Facility		$20.05	$31.18	$62.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $24.08 / $106.19	Professional		$12.03	$24.08	$106.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $40.85 / $62.86	Facility		$24.06	$40.85	$62.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $41.30 / $58.82	Professional		$24.08	$41.30	$58.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $20.05 / $35.79	Professional		$19.51	$20.05	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $48.57	Professional		$12.03	$12.03	$48.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Professional		$20.05	$20.05	$20.05