Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $53.08 / $85.22	Facility		$29.41	$53.08	$85.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $23.74 / $26.47	Professional		$18.01	$23.74	$26.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $49.61 / $62.02	Professional		$32.75	$49.61	$62.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $49.04 / $127.56	Professional		$27.29	$49.04	$127.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $35.47 / $72.20	Facility		$27.29	$35.47	$72.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $28.11 / $106.19	Professional		$16.37	$28.11	$106.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $50.00 / $72.20	Facility		$32.75	$50.00	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $48.30 / $71.23	Professional		$32.75	$48.30	$71.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $27.29 / $48.71	Professional		$26.55	$27.29	$48.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $16.37 / $90.42	Professional		$16.37	$16.37	$90.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.29 / $27.29	Professional		$27.29	$27.29	$27.29